Active NPI
James Darryl Rosson, OD
- Optometrist
- Canton, TX
National Provider Identifier
1205984564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 03087TG
- Practice address
- 603 E Highway 243
Canton, TX 75103-2420 - Phone
- (903) 567-4686
- Fax
- (903) 567-4199
- NPI assigned
- Jan 5, 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 | 03087TG | TX | Primary |
Addresses
Primary practice location
603 E Highway 243
Canton, TX 75103-2420
Mailing address
720 Water Crest Cir
Canton, TX 75103-1112
Phone (903) 567-4686
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093188302 | Medicaid | TX | |
| 751836056 | Other | TX | TAX ID |
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 |
|---|---|---|---|
| 03087TG | TX | MD | Optometrist |
| 3087 | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1205984564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 WATER CREST CIR",
"city": "CANTON",
"state": "TX",
"postal_code": "751031112",
"telephone_number": "903-567-4686",
"fax_number": "903-567-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 E HIGHWAY 243",
"city": "CANTON",
"state": "TX",
"postal_code": "751032420",
"telephone_number": "903-567-4686",
"fax_number": "903-567-4199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSON",
"first_name": "JAMES",
"middle_name": "DARRYL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "03087TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093188302",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "751836056",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.