Davis, James O
Davis, James O is an sole proprietor health care provider with primary practice located at 2615 Harrison St , Batesville AR 72501-7405. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Davis, James O can be contacted via phone (870) 793-4400.Contact Information
Primary practice address
2615 Harrison St
Batesville AR 72501-7405
Phone: (870) 793-4400
Fax: (870) 793-4000
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2355 | Arkansas |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2355 | Arkansas |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2355 | Arkansas |
Profile Details
NPI number | 1790734499 |
---|---|
LBN Legal business name | Davis, James O |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 9th, 2006 |
Last updated | Oct 5th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790734499 | NPPES |
Arkansas | MEDICAID | 112827722 | |
Arkansas | Other | 0360260001 | |
Arkansas | Other | 410007229 | |
Arkansas | Other | 49285 |
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