Individual provider Active NPI

James H Treston, O.D.

  • Optometrist
  • Pooler, GA
National Provider Identifier
1083779565
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002342 Issued in FL
Practice address
160 Pooler Pkwy
Pooler, GA 31322-4200
Phone
(912) 748-9597
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002342 FL Primary

Addresses

Primary practice location

160 Pooler Pkwy
Pooler, GA 31322-4200

Mailing address

28 Foliage TRL
Waynesville, NC 28786-6223
Phone (912) 748-9597

Other identifiers 2

IdentifierTypeStateIssuer
500797411AMedicaidGA
P00364197OtherGARR MEDICARE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1506SCMDRegistered Dietitian
OPT002342FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James H Treston Optometrist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1083779565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 FOLIAGE TRL",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287866223",
            "telephone_number": "912-748-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 POOLER PKWY",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224200",
            "telephone_number": "912-748-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESTON",
        "first_name": "JAMES",
        "middle_name": "H",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPT002342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500797411A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00364197",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.