NPIMap

Organization Active NPI

Jacqueline G. Davis Optometrist Inc

  • Optometrist
  • Columbus, OH
National Provider Identifier
1235327396
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3532 Issued in OH
Legal business name
JACQUELINE G. DAVIS OPTOMETRIST INC
Practice address
2696 Crossroads Plaza Dr
Columbus, OH 43219-3442
Phone
(614) 471-9005
Fax
(614) 471-2791
NPI assigned
Oct 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jacqueline G. Davis, O.D.
Title
Owner
Phone
(614) 471-9005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3532 OH Primary

Addresses

Primary practice location

2696 Crossroads Plaza Dr
Columbus, OH 43219-3442

Mailing address

2696 Crossroads Plaza Dr
Columbus, OH 43219-3442
Phone (614) 471-9005

National Provider Directory

National Provider Directory

Locations

2696 Crossroads Plaza Dr
Columbus, OH 43219
Phone (614) 471-9005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1235327396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 CROSSROADS PLAZA DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193442",
            "telephone_number": "614-471-9005",
            "fax_number": "614-471-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2696 CROSSROADS PLAZA DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193442",
            "telephone_number": "614-471-9005",
            "fax_number": "614-471-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE G. DAVIS OPTOMETRIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-13",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-471-9005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.