Individual provider Active NPI

Jason Davis, O.D.

  • Optometrist
  • Palm City, FL
National Provider Identifier
1801321120
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5367 Issued in FL
Practice address
2660 SW Immanuel Dr
Palm City, FL 34990-2738
Phone
(772) 283-1191
Fax
(772) 283-4899
NPI assigned
Apr 24, 2017
Last updated
Mar 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5367 FL Primary

Addresses

Primary practice location

2660 SW Immanuel Dr
Palm City, FL 34990-2738

Mailing address

2660 SW Immanuel Dr
Palm City, FL 34990-2738
Phone (772) 283-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171229000064 FL Practitioner - Optometry 0648538363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J.S. Davis LLCGroup PAC ID 4385902006, 4 clinicians

Practice addresses (Care Compare)

2660 SW Immanuel Dr
Palm City, FL 34990-2738
Phone (772) 283-1191

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as individual
Quality
81.18
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J.S. Davis L.L.C. Optometrist CurrentSince Oct 1, 2017 Accepting new patients
Stephen B Allison Optometrist PastSince Oct 1, 2017 Accepting new patients

Locations

2660 SW Immanuel Dr
Palm City, FL 34990
Phone (772) 283-1191

Interoperability endpoints

  • Direct secure messaging: jdavis@palmcityeye.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1801321120",
    "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": {
        "last_name": "DAVIS",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.