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HAROLD E DAVIS & TERRY ALAN TRUST ETAL NPI 1265621361


NPI Information

NPI: 1265621361
Provider Name: HAROLD E DAVIS & TERRY ALAN TRUST ETAL

Doing Business As: DAVIS EYECARE ASSOCIATES

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 14D2015036

Address:
4663 W 95TH ST
OAK LAWN, IL
ZIP 60453
Phone: (708) 636-0600
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HAROLD E DAVIS & TERRY ALAN TRUST ETAL is an optometrist in Oak Lawn, IL. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. HAROLD E DAVIS & TERRY ALAN TRUST ETAL NPI is 1265621361. The provider is registered as an organization entity type.
The provider Is Doing Business As Davis Eyecare Associates.

The provider's business location address is:

4663 W 95TH ST
OAK LAWN, IL
ZIP 60453-540
Phone: (708) 636-0600
Fax: (708) 636-0606

The provider's authorized official is Jason Davis .
The authorized official title is Administrative Asst. and has the following contact phone number (708) 636-0600.

The CLIA number assigned to this NPI record is 14D2015036 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 8/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization046004083ILLINOISNo
2305R00000XPreferred Provider Organization046007173ILLINOISNo
3305R00000XPreferred Provider Organization046009277ILLINOISNo
4152W00000XOptometristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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