Active NPI
James Kelly Palmer III, L.D.O.
- Optician
- Xenia, OH
National Provider Identifier
1093011868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 5845-SC
- Practice address
- 765 N Detroit St
Xenia, OH 45385-1960 - Phone
- (937) 270-2425
- NPI assigned
- Jan 26, 2011
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 5845-SC | OH | Primary |
Addresses
Primary practice location
765 N Detroit St
Xenia, OH 45385-1960
Mailing address
765 N Detroit St
Xenia, OH 45385-1960
Phone (937) 270-2425
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 |
|---|---|---|---|
| 5845-SC | OH | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1093011868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 N DETROIT ST",
"city": "XENIA",
"state": "OH",
"postal_code": "453851960",
"telephone_number": "937-270-2425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 N DETROIT ST",
"city": "XENIA",
"state": "OH",
"postal_code": "453851960",
"telephone_number": "937-270-2425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "JAMES",
"middle_name": "KELLY",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "L.D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-26",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "5845-SC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.