Organization Active NPI

Dr. James O. Davis III O.D.P.a.

Doing business as Batesville Eye Care Center

  • Optometrist
  • Batesville, AR
National Provider Identifier
1720037914
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
PC-102 Issued in AR
Legal business name
DR. JAMES O. DAVIS III O.D.P.A.
Doing business as
Batesville Eye Care Center
Practice address
2615 Harrison St
Batesville, AR 72501-7405
Phone
(870) 793-4400
Fax
(870) 793-4000
NPI assigned
May 8, 2006
Last updated
Jan 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. James O Davis III, OD OPTOMETRIC PHYSICNPI 1790734499
Title
Doctor Owner President
Phone
(870) 793-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X PC-102 AR Primary

Addresses

Primary practice location

2615 Harrison St
Batesville, AR 72501-7405

Mailing address

2615 Harrison St
Batesville, AR 72501-7405
Phone (870) 793-4400

Other identifiers 2

IdentifierTypeStateIssuer
CB6489OtherARRAILROAD MEDICARE
5C102OtherARBLUECROSS GROUP

Other names 1

  • Batesville Eye Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090729000285 AR Part B Supplier - Clinic/Group Practice 4284787946 Receives reassigned benefits from 2 practitioners
Practice locations: Batesville, AR

National Provider Directory

National Provider Directory

Locations

2615 Harrison St
Batesville, AR 72501
Phone (870) 793-4400

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1720037914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017405",
            "telephone_number": "870-793-4400",
            "fax_number": "870-793-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017405",
            "telephone_number": "870-793-4400",
            "fax_number": "870-793-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAMES O. DAVIS III O.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DOCTOR OWNER PRESIDENT",
        "authorized_official_telephone_number": "870-793-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OD OPTOMETRIC PHYSIC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "PC-102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB6489",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS GROUP",
            "identifier": "5C102",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Batesville Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.