Active NPI
Jason Davis, O.D.
- Optometrist
- Palm City, FL
National Provider Identifier
1801321120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5367
- 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, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 81.18
- Promoting interoperability
- 95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J.S. Davis L.L.C. | Optometrist | Current | Accepting new patients |
| Stephen B Allison | Optometrist | Past | Accepting new patients |
Locations
2660 SW Immanuel Dr
Palm City, FL 34990
Phone (772) 283-1191
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.