J.S. Davis L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5367 Issued in FL

Legal business name

J.S. DAVIS L.L.C.

Doing business as

Palm City Eyecare

Practice address

2660 SW Immanuel Dr
Palm City, FL 34990-2738

Phone

(772) 283-1191

Fax

(772) 283-4899

NPI assigned

Dec 7, 2017

Last updated

Dec 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Davis, O.D.NPI 1801321120

Title

Owner

Phone

(772) 283-1191

Specialties & licenses 1

Addresses

Other names 1

• PALM CITY EYECARE Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Davis, O.D.

  • Optometrist
  • Palm City, FL
  • NPI 1801321120
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Lynn Lund, O.D.

  • Optometrist
  • Palm City, FL
  • NPI 1881047348
  Medicare reassignment Care Compare group NPD
• Tatiana Sophia Mastriano, OD

  • Optometrist
  • Palm City, FL
  • NPI 1356190763
  Medicare reassignment Care Compare group NPD
• Kelly Jacobi Waddell, O.D.

  • Optometrist
  • Fort Pierce, FL
  • NPI 1881889251
  Medicare reassignment Care Compare group NPD
• Dwight Garfield Dawkins, MD

  • Family Medicine Physician
  • Fort Pierce, FL
  • NPI 1164492005
  NPD (past)

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1568977841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 SW IMMANUEL DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902738",
            "telephone_number": "772-283-1191",
            "fax_number": "772-283-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SW IMMANUEL DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902738",
            "telephone_number": "772-283-1191",
            "fax_number": "772-283-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.S. DAVIS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-283-1191",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALM CITY EYECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jeanine Ishmael
• Cheridah James, RBT
• Nicole Lynn Jared, RBT
• Kalie Jean
• Sophia Joachim
• Johanna Job

• Optometrist in Palm City, FL
• Providers in Palm City, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.