Dr James E Davis Jr

LBN: Dr James E Davis Jr
Dr James E Davis Jr is an health care organization with primary practice located at 3411 N Woodford St , Decatur IL 62526-2861. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr James E Davis Jr can be contacted via phone (217) 877-0312, or through Davis, James E via phone (217) 877-0312.

Contact Information

Primary practice address
3411 N Woodford St Decatur IL 62526-2861
Phone: (217) 877-0312
Fax: (217) 877-0397
Website:
Map and Directions
Authorized official contact:
Name: Davis, James E Doctor of Optometry (OD)
Phone: (217) 877-0312

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046007432 Illinois

Profile Details

NPI number 1083154264
LBN Legal business name Dr James E Davis Jr
DBA Doing business as
Authorized official Davis, James E Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2017
Last updated Mar 7th, 2017 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083154264 NPPES
Illinois MEDICAID 046007432

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