Jonathan Davis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-E06 Issued in AL

Practice address

1313 13TH Ave SE
Decatur, AL 35601-4308

Phone

(256) 353-1787

NPI assigned

Mar 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Decatur Family Eye Care LLCGroup PAC ID 6608128715, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Decatur Family Eye Care LLC

  • Optometrist
  • Decatur, AL
  • NPI 1023594603
  Medicare reassignment Care Compare group NPD Authorized official
• Herbert H. Bowden

  • Specialist
  • Huntsville, AL
  • NPI 1104940774
  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1346745817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014308",
            "telephone_number": "256-353-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014308",
            "telephone_number": "256-353-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JONATHAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David V. Parmer, MD, PC
• Davila Pediatrics P.C.
• Ashley Offord Davis, LPC
• Colton Davis
• Jennifer Leigh Davis
• Joshua A Davis, PT
• Rebecca Marie Davis
• William Davis Jr., P.A.-C
• Andrea Faith Day, NP
• Emily Elizabeth De Armas

• Optometrist in Decatur, AL
• Providers in Decatur, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.