HAROLD E DAVIS & TERRY ALAN TRUST ETAL
NPI 1265621361
Optometrist in Oak Lawn, IL

Q: What is Harold E Davis & Terry Alan Trust Etal's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since October 15, 2007

4663 W 95TH ST, OAK LAWN, IL 60453(708) 636-0600(708) 636-0606 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 1, 2025, Aug 3, 2022, Nov 12, 2019 (3 updates tracked since 2019).

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About Harold E Davis & Terry Alan Trust Etal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAROLD E DAVIS & TERRY ALAN TRUST ETAL (NPI 1265621361), doing business as Davis Eyecare Associates, is a healthcare organization registered as an optometrist in Oak Lawn, Illinois and active in the NPI registry since October 2007. The organization maintains a secondary practice location in Orland Park and lists Jason Davis, Administrative Asst., as its authorized official.

NPPES Registry Identity

NPI1265621361

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameHAROLD E DAVIS & TERRY ALAN TRUST ETAL

Location Address4663 W 95TH STOak Lawn, IL 60453-2540

Mailing Address4663 W 95th StOak Lawn, IL 60453-2540 · (708) 636-0600 · Fax (708) 636-0606

Phone(708) 636-0600

Fax(708) 636-0606

Organization SubpartNo

Authorized OfficialJason DavisAdministrative Asst. · (708) 636-0600

Enumeration DateOctober 15, 2007

Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1265621361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedPreferred Provider OrganizationTaxonomy 305R00000X · License 046004083 (IL), 046007173 (IL), 046009277 (IL)

4663 W 95TH ST, Oak Lawn, IL 60453

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Other Names 1

Doing Business AsDavis Eyecare Associates

Secondary Practice Location 1

Location 1600 Ravinia PlOrland Park, IL 60462-3759 · Phone (708) 349-7571

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harold E Davis & Terry Alan Trust Etal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Harold E Davis & Terry Alan Trust Etal, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Bradley Cogswell, O.D.

Optometry

NPI 1164402491

4663 W 95TH ST
Oak Lawn, IL 60453

(708) 636-0600

✔ PECOS✔ Accepts MedicareSame address

Robert Davis, O.D.

Optometry

NPI 1275513509

4663 W 95TH ST
Oak Lawn, IL 60453

(708) 636-0600

✔ PECOS✔ Accepts MedicareSame address

Puja Patel

Optometry

NPI 1568041978

4663 W 95TH ST
Oak Lawn, IL 60453

(708) 636-0600

✔ PECOS✔ Accepts MedicareSame address

Stephanie Garza, OD

Optometry

NPI 1093472110

4663 W 95TH ST
Oak Lawn, IL 60453

(708) 636-0600

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harold E Davis & Terry Alan Trust Etal's NPI number?

The NPI number for Harold E Davis & Terry Alan Trust Etal is 1265621361. It was assigned to this organization in the NPPES registry on October 15, 2007. The provider is doing business as Davis EyeCare Associates.

Where is Harold E Davis & Terry Alan Trust Etal located?

Harold E Davis & Terry Alan Trust Etal is located at 4663 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 636-0600.

What is Harold E Davis & Terry Alan Trust Etal's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Harold E Davis & Terry Alan Trust Etal enrolled in Medicare?

Yes. Harold E Davis & Terry Alan Trust Etal is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harold E Davis & Terry Alan Trust Etal?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Harold E Davis & Terry Alan Trust Etal. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Harold E Davis & Terry Alan Trust Etal accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Harold E Davis & Terry Alan Trust Etal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harold E Davis & Terry Alan Trust Etal was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.