Provider Demographics
NPI:1760661227
Name:JAMES A. DAVIES, M.D., INC
Entity Type:Organization
Organization Name:JAMES A. DAVIES, M.D., INC
Other - Org Name:INNOVISION EYE CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:DAVIES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-729-7101
Mailing Address - Street 1:2124 S EL CAMINO REAL STE 100
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6211
Mailing Address - Country:US
Mailing Address - Phone:760-729-7101
Mailing Address - Fax:760-729-7106
Practice Address - Street 1:2124 S EL CAMINO REAL STE 100
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6211
Practice Address - Country:US
Practice Address - Phone:760-729-7101
Practice Address - Fax:760-729-7106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC41798207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW11954Medicare PIN