Active NPI
James Melvin Calderwood, O.D.
- Optometrist
- Atwater, CA
National Provider Identifier
1093918682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7150T
- Practice address
- 1000 Commerce Ave
Target Optical
Atwater, CA 95301-5213 - Phone
- (209) 356-1836
- NPI assigned
- Jun 9, 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 | 7150T | CA | Primary |
Addresses
Primary practice location
1000 Commerce Ave
Target Optical
Atwater, CA 95301-5213
Mailing address
37753 Peterson Rd
Auberry, CA 93602-9502
Phone (559) 841-3708
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7150T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244332800000",
"number": "1093918682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37753 PETERSON RD",
"city": "AUBERRY",
"state": "CA",
"postal_code": "936029502",
"telephone_number": "559-841-3708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 COMMERCE AVE",
"address_2": "TARGET OPTICAL",
"city": "ATWATER",
"state": "CA",
"postal_code": "953015213",
"telephone_number": "209-356-1836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERWOOD",
"first_name": "JAMES",
"middle_name": "MELVIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-09",
"last_updated": "2009-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "7150T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atwater, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.