Davis Eyecare Associates

LBN: Harold E Davis & Terry Alan Trust Etal
Davis Eyecare Associates is an health care organization with primary practice located at 4663 W 95Th St , Oak Lawn IL 60453-2540. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Managed Care Organizations / Preferred Provider Organization. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Harold E Davis & Terry Alan Trust Etal can be contacted via phone (708) 636-0600, or through Davis, Jason via phone (708) 636-0600.

Contact Information

Primary practice address
4663 W 95Th St Oak Lawn IL 60453-2540
Phone: (708) 636-0600
Fax: (708) 636-0606
Website:
Map and Directions
Authorized official contact:
Name: Davis, Jason
Phone: (708) 636-0600

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Managed Care Organizations / Preferred Provider Organization 305R00000X 046004083 Illinois
Managed Care Organizations / Preferred Provider Organization 305R00000X 046007173 Illinois
Managed Care Organizations / Preferred Provider Organization 305R00000X 046009277 Illinois

Profile Details

NPI number 1265621361
LBN Legal business name Harold E Davis & Terry Alan Trust Etal
DBA Doing business as Davis Eyecare Associates
Authorized official Davis, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2007
Last updated Aug 3rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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