Individual provider Active NPI

James B. Craig, OD

  • Optometrist
  • Dublin, GA
National Provider Identifier
1114967742
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT000748 Issued in GA
Practice address
2032 Veterans Blvd
Dublin, GA 31021-3042
Phone
(478) 272-3445
Fax
(478) 272-4802
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OPT000748 GA
Optometrist 152W00000X OPT000748 GA Primary

Addresses

Primary practice location

2032 Veterans Blvd
Dublin, GA 31021-3042

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

1634 Veterans Blvd.
Suite C
Dublin, GA 31021
Phone (478) 272-5425

Other practice location 2

2032 Veterans Blvd
Dublin, GA 31021-3042
Phone (478) 272-3445

Other identifiers 1

IdentifierTypeStateIssuer
003131495AMedicaidGA

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
000748GAMDClinical Social Worker
OPT000748GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Associates of Milledgeville, PC Optometrist Past 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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114967742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 VETERANS BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213042",
            "telephone_number": "478-272-3445",
            "fax_number": "478-272-4802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1634 Veterans Blvd.",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "31021",
            "country_code": "US",
            "telephone_number": "478-272-5425",
            "fax_number": "478-272-5425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2032 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310213042",
            "country_code": "US",
            "telephone_number": "478-272-3445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JAMES",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "OPT000748",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003131495A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.