NPI 1265621361

Harold E Davis & Terry Alan Trust Etal

Organisation Optometrist Oak Lawn, IL

Practice location

Address: 4663 W 95th St, Oak Lawn, IL 60453-2540
Phone: (708) 636-0600
Fax: (708) 636-0606

Authorised official

Name: Jason Davis
Title: Administrative Asst.
Phone: (708) 636-0600

Registered specialties (4)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Illinois →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 046004083 (IL)

Other Preferred Provider Organization providers in Illinois →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 046007173 (IL)

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 046009277 (IL)

Registry record

NPI: 1265621361
Entity type: Organization
NPI issued: 15 Oct 2007
Record last updated: 1 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.