Active NPI
James Earl Haggard, O.D.
- Optometrist
- Jackson, TN
National Provider Identifier
1073669347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1936
- Practice address
- 2021 N Highland Ave
Jackson, TN 38305-4918 - Phone
- (731) 664-5655
- Fax
- (731) 664-0256
- NPI assigned
- Jan 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1936 | TN | Primary |
Addresses
Primary practice location
2021 N Highland Ave
Jackson, TN 38305-4918
Mailing address
80 Montclair Dr
Jackson, TN 38301-3839
Phone (731) 664-6866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1936 | TN | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073669347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 MONTCLAIR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013839",
"telephone_number": "731-664-6866",
"fax_number": "731-664-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 N HIGHLAND AVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "383054918",
"telephone_number": "731-664-5655",
"fax_number": "731-664-0256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGGARD",
"first_name": "JAMES",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "1936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.