Individual provider Active NPI

James O Davis III, O.D.

  • Optometrist
  • Batesville, AR
National Provider Identifier
1790734499
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2355 Issued in AR
Practice address
2615 Harrison St
Batesville, AR 72501-7405
Phone
(870) 793-4400
Fax
(870) 793-4000
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2355 AR Primary
Corneal and Contact Management Optometrist 152WC0802X 2355 AR
Pediatric Optometrist 152WP0200X 2355 AR

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 4

IdentifierTypeStateIssuer
112827722MedicaidAR
0360260001OtherARPALMETTO GBA
410007229OtherARRAIL ROAD MEDICARE
49285OtherARBLUECROSS

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20101013000978 AR Practitioner - Optometry 0244383800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Dr. James O. Davis III O.D.P.a.Group PAC ID 4284787946, 2 clinicians

Practice addresses (Care Compare)

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

Merit-based Incentive Payment System (MIPS)

Final score
91.92 of 100Reported as individual
Quality
83.84
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2355ARMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. James O. Davis III O.D.P.a. Optometrist CurrentSince Jul 22, 1993 Accepting new patients

Locations

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

Interoperability endpoints

  • Direct secure messaging: james.davis@uprisedirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1790734499",
    "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": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2355",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AR",
            "license": "2355",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "AR",
            "license": "2355",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112827722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "0360260001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "410007229",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "49285",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.