Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Harold E Davis & Terry Alan Trust Etal

Organization Optometrist · NPI 1265621361

Harold E Davis & Terry Alan Trust Etal is an Optometrist in Oak Lawn, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
Specialties on file
4
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Practice location Address checks out

4663 W 95th St
Oak Lawn, IL 60453-2540
Phone: (708) 636-0600
Fax: (708) 636-0606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Ravinia Pl, Orland Park, IL 60462-3759 — (708) 349-7571

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X
Preferred Provider Organization Taxonomy 305R00000X · Licence 046004083 (IL)
Preferred Provider Organization Taxonomy 305R00000X · Licence 046007173 (IL)
Preferred Provider Organization Taxonomy 305R00000X · Licence 046009277 (IL)

Record details

NPI number1265621361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Davis — Administrative Asst. · (708) 636-0600
Other names Davis Eyecare Associates
NPI enumeratedOctober 15, 2007
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address4663 W 95th St, Oak Lawn, IL 60453-2540

Other providers in Oak Lawn