John Marcus Davis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2611 Issued in AR

Practice address

2615 Harrison St
Batesville, AR 72501-7405

Phone

(870) 793-4400

Fax

(870) 793-4000

NPI assigned

Aug 6, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 2008

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)

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 and National Provider Directory roles.

• Dr. James O. Davis III O.D.P.a.

  • Optometrist
  • Batesville, AR
  • NPI 1720037914
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1982860144",
    "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": "JOHN",
        "middle_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davie Medical Equipment, Inc
• Andrew Davis, PT
• Deborah Davis
• Debra Davis, M.A., CCC-SLP
• James O Davis III, O.D.
• Marnie Davis, OTR
• Ronda Lauren Davis, CRNA
• Sylvia Davis
• Georgia Gwynn Dawson, DC
• Leslie Dean

• Optometrist in Batesville, AR
• Providers in Batesville, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.

Verify at the official NPI Registry.