Jacqueline Goings Davis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3532/403 Issued in OH

Practice address

1160 W Broad St
Lower Lights Christian Health Center
Columbus, OH 43222-1317

Phone

(614) 274-1455

Fax

(614) 274-2040

NPI assigned

Jan 11, 2006

Last updated

Aug 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ohio State University

  dba The Ohio State University College of Optometry

  • Optometrist
  • Columbus, OH
  • NPI 1710900683
  Medicare reassignment NPD
• Lower Lights Christian Health Center, Inc.

  • Primary Care Clinic/Center
  • Columbus, OH
  • NPI 1033455209
  Medicare reassignment
• Lower Lights Christian Health Center Inc

  • Clinic/Center
  • Newark, OH
  • NPI 1700549755
  NPD
• Lower Lights Christian Health Center Inc

  • Clinic/Center
  • Columbus, OH
  • NPI 1992460950
  NPD
• Lower Lights Christian Health Center, Inc

  dba Union Star Health Center

  • Primary Care Clinic/Center
  • Marysville, OH
  • NPI 1699114108
  NPD
• Lower Lights Christian Health Center, Inc

  dba German Village Health Center

  • Primary Care Clinic/Center
  • Columbus, OH
  • NPI 1841611688
  NPD
• Lower Lights Christian Health Center, Inc

  dba Vineyard Cooper Rd Health Center

  • Primary Care Clinic/Center
  • Westerville, OH
  • NPI 1962823708
  NPD
• Lower Lights Christian Health Center, Inc.

  • Primary Care Clinic/Center
  • Columbus, OH
  • NPI 1154630408
  NPD
• Ohio State University

  dba OSU Traumatic Brain Injury Network

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1730133729
  NPD
• Divine Family Eyecare, Inc.

  • Optometrist
  • Columbus, OH
  • NPI 1679708598
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1902885734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 W BROAD ST",
            "address_2": "LOWER LIGHTS CHRISTIAN HEALTH CENTER",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221317",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W BROAD ST",
            "address_2": "LOWER LIGHTS CHRISTIAN HEALTH CENTER",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221317",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JACQUELINE",
        "middle_name": "GOINGS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3532/403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0477667",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah M Davis, DDS
• Heather Lynn Davis, LPN
• Hilary Suzanne Davis, APRN-CNP
• Iesha Davis, APRN, CNP
• J. Terrance Davis, M.D.
• Jacqueline Kay Davis, PEER RECOVERY SUPPOR
• Jamal Isiah Davis
• Jami Davis, CPNP-AC
• Janice Lynn Badenhop Davis, CNP
• Jasmine Davis

• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.