Active NPI
James O Davis III, O.D.
- Optometrist
- Batesville, AR
National Provider Identifier
1790734499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2355
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112827722 | Medicaid | AR | |
| 0360260001 | Other | AR | PALMETTO GBA |
| 410007229 | Other | AR | RAIL ROAD MEDICARE |
| 49285 | Other | AR | BLUECROSS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1986
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
- Quality
- 83.84
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2355 | AR | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. James O. Davis III O.D.P.a. | Optometrist | Current | Accepting new patients |
Locations
2615 Harrison St
Batesville, AR 72501
Phone (870) 793-4400
Interoperability endpoints
- 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.
-
- Optometrist
- Batesville, AR
- NPI 1720037914
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.