Organization
HAROLD E DAVIS & TERRY ALAN TRUST ETAL
Active
Other names
Davis EyeCare Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASON DAVIS (ADMINISTRATIVE ASST.)
(708) 636-0600
Entity
Organization
Contact information
Practice address
4663 W 95TH ST, OAK LAWN, IL 60453-2540
(708) 636-0600
(708) 636-0606
Mailing address
4663 W 95TH ST, OAK LAWN, IL 60453-2540
(708) 636-0600
(708) 636-0606
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
305R00000X
Preferred Provider Organization
046004083
IL
305R00000X
Preferred Provider Organization
046007173
IL
305R00000X
Preferred Provider Organization
046009277
IL
Other
Enumeration date
10/15/2007
Last updated
07/01/2025
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