James D. Ferguson OD PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

18002583A Issued in IN

Legal business name

JAMES D. FERGUSON OD PC

Practice address

1820 E Columbus Dr
East Chicago, IN 46312-2826

Phone

(219) 398-2020

Fax

(291) 398-9808

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Smith

Title

Billing Manager

Phone

(219) 972-0904

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liam James Ferguson

  • Optometrist
  • Highland, IN
  • NPI 1194579482
  NPD (past)
• Roger L Liggett, OD

  • Optometrist
  • Highland, IN
  • NPI 1578511663
  NPD (past)
• Paul A Veld, O.D.

  • Optometrist
  • Crete, IL
  • NPI 1225093883
  NPD (past)

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1114101912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 KENNEDY AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221139",
            "telephone_number": "219-838-2020",
            "fax_number": "219-838-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E COLUMBUS DR",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463122826",
            "telephone_number": "219-398-2020",
            "fax_number": "291-398-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES D. FERGUSON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "219-972-0904",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "18002583A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200323790",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in East Chicago, IN
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.