James L Abbott, O.D.
Individual provider Active NPI Optometrist · Mesa, AZ
NPI 1073597290 · NPPES record last updated Aug 21, 2008
Key facts
- NPI
- 1073597290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 338 (AZ)
- Practice address
- 1919 E McKellips Rd
Suite 103
Mesa, AZ 85203-2844 - Phone
- (480) 844-2286
- Fax
- (480) 610-6641
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Experts on Sight, LLC | Optometrist | Past |
Accepting new patients |
| Experts on Sight - Mesa LLC | Optometrist | Past |
Accepting new patients |
| Jonathan E Wold OD PC | Optometrist | Past | Accepting new patients |
| James L. Abbott, OD, PC | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 338 | AZ | Yes |
Addresses
Primary practice location
1919 E McKellips Rd
Suite 103
Mesa, AZ 85203-2844
Mailing address
1919 E McKellips Rd
Suite 103
Mesa, AZ 85203-2844
Phone (480) 844-2286
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.