Dr. James R. Davis, IV, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2033 Issued in FL

Legal business name

DR. JAMES R. DAVIS, IV, O.D., INC.

Practice address

730 7TH St
Clermont, FL 34711-2145

Phone

(352) 394-6168

NPI assigned

Apr 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. James Royland Davis IV, O.D.

Title

Owner

Phone

(352) 394-6168

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• James Davis IV

  • Optometrist
  • Clermont, FL
  • NPI 1902987514
  Medicare reassignment NPD
• Bryan J Seaman

  • Optometrist
  • Clermont, FL
  • NPI 1629429741
  NPD (past)

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1548559883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 7TH ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 7TH ST",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112145",
            "telephone_number": "352-394-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAMES R. DAVIS, IV, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROYLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-394-6168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Clermont, FL
• Providers in Clermont, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.