Davis, Jim L.

Davis, Jim L. is an individual health care provider with primary practice located at 3213 E Central Texas Expy Suite 100B, Killeen TX 76543-7322. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davis, Jim L. can be contacted via phone (254) 200-0711.

Contact Information

Primary practice address
3213 E Central Texas Expy Suite 100B Killeen TX 76543-7322
Fax: (254) 200-0778
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2101T Texas

Profile Details

NPI number 1811984438
LBN Legal business name Davis, Jim L.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Sep 24th, 2008 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811984438 NPPES
Texas MEDICAID 147684801
Texas Other 431530399

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