Basic Information
| Provider Information | |||||||||
| NPI: | 1760661227 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JAMES A. DAVIES, M.D., INC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | INNOVISION EYE CARE CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2124 S EL CAMINO REAL STE 100 | ||||||||
| Address2: | |||||||||
| City: | OCEANSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920546211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7607297101 | ||||||||
| FaxNumber: | 7607297106 | ||||||||
| Practice Location | |||||||||
| Address1: | 2124 S EL CAMINO REAL STE 100 | ||||||||
| Address2: | |||||||||
| City: | OCEANSIDE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920546211 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7607297101 | ||||||||
| FaxNumber: | 7607297106 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2007 | ||||||||
| LastUpdateDate: | 11/04/2020 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | DAVIES | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | ARTHUR | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR/OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7607297101 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | 11/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | C41798 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.