Harold E Davis & Terry Alan Trust Etal
NPI 1265621361 · Optometrist · Oak Lawn, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Harold E Davis & Terry Alan Trust Etal is a Optometrist organization in Oak Lawn, IL (NPI 1265621361).
Provider details
- NPI number
- 1265621361
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jason Davis, Administrative Asst.(708) 636-0600
- License
- 046004083 (IL)
Specialties & taxonomies
Eye and Vision Services Providers
Managed Care Organizations
Managed Care Organizations
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Davis Eyecare Associates
Additional practice locations (1)
- 600 Ravinia PlOrland Park, IL 60462-3759Phone: (708) 349-7571
Registry dates
- Enumerated
- 2007-10-15
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Frequently asked questions
- What is Harold E Davis & Terry Alan Trust Etal's NPI number?
- Harold E Davis & Terry Alan Trust Etal's National Provider Identifier (NPI) is 1265621361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Harold E Davis & Terry Alan Trust Etal?
- Harold E Davis & Terry Alan Trust Etal is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Harold E Davis & Terry Alan Trust Etal located?
- Harold E Davis & Terry Alan Trust Etal's practice location on file with NPPES is 4663 W 95th St, Oak Lawn, IL 60453-2540.
- What is Harold E Davis & Terry Alan Trust Etal's phone number?
- The practice phone number listed in the NPPES registry for Harold E Davis & Terry Alan Trust Etal is (708) 636-0600.
- Does Harold E Davis & Terry Alan Trust Etal accept Medicare?
- Harold E Davis & Terry Alan Trust Etal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Harold E Davis & Terry Alan Trust Etal?
- The authorized official listed on Harold E Davis & Terry Alan Trust Etal's NPPES record is Jason Davis, Administrative Asst.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Harold E Davis & Terry Alan Trust Etal's NPI active?
- Yes — Harold E Davis & Terry Alan Trust Etal's NPI (1265621361) is active in the NPPES registry as of the last update on 2025-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.