Individual
DR. JAMES O DAVIS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2615 HARRISON ST, BATESVILLE, AR 72501-7405
(870) 793-4400
(870) 793-4000
Mailing address
2615 HARRISON ST, BATESVILLE, AR 72501-7405
(870) 793-4400
(870) 793-4000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2355
AR
152WC0802X
Corneal and Contact Management Optometrist
2355
AR
152WP0200X
Pediatric Optometrist
2355
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0360260001
PALMETTO GBA
AR
05
—
112827722
—
AR
01
—
410007229
RAIL ROAD MEDICARE
AR
01
—
49285
BLUECROSS
AR
Enumeration date
05/09/2006
Last updated
10/05/2015
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