DR. JACOB BURLEY DAVIS (OD) – Optometrist, NPI 1811760747

DR. JACOB BURLEY DAVIS (OD) is a healthcare provider. based in Canonsburg, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.007229 (OH). The NPI Number for DR. JACOB BURLEY DAVIS (OD) is 1811760747

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB BURLEY DAVIS (OD)
NPI
1811760747
Phone
(724) 745-2020
Address
950 S CENTRAL AVE
Enumeration Date
2 November 2023
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
INTERNATIONAL AMERICAN UNIVERSITY AT PUERTO RICO - SCHOOL OF OPTOMETRY
Secondary Phone
7406950444
Graduation Year
2020 (6 years ago)
PAC ID
0244689933
Group Practice PAC ID
7517034291
Professional Enrollment ID
I20260122001782
Address ID
OH439508786SA107XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

1,771 OPTOMETRY in PA

Provider Addresses for DR. JACOB BURLEY DAVIS (OD)

  • 950 S CENTRAL AVE

    CANONSBURG, PA 153171489

    Phone: (724) 745-2020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $371.

Total Amount is formed as General ($371) + Research ($0) + Ownership ($0) = $371.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($199).

Total Amount

$371

General + Research + Ownership

Payments

21

Total payment records

General Amount

$371

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231206002402IOptometryPATBD
I20260122001782IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15317)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517034291View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What number should I use to identify DR. JACOB BURLEY DAVIS (OD) for billing?
Administrative and clinical systems typically use NPI 1811760747 for DR. JACOB BURLEY DAVIS (OD).
Is DR. JACOB BURLEY DAVIS (OD) currently accepting referrals based on NPI status?
Registry metadata lists DR. JACOB BURLEY DAVIS (OD) as active.
How should patients interpret DR. JACOB BURLEY DAVIS (OD)'s specialty?
The extract shows Optometrist for DR. JACOB BURLEY DAVIS (OD). Clinical services aligned with this taxonomy classification.
Is DR. JACOB BURLEY DAVIS (OD) tied to Canonsburg, Pennsylvania?
If you are local to Canonsburg, Pennsylvania, DR. JACOB BURLEY DAVIS (OD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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