Organization Active NPI

James H. Sawyer, O.D., P.S.C.

  • Optometrist
  • Monticello, KY
National Provider Identifier
1225217201
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JAMES H. SAWYER, O.D., P.S.C.
Practice address
150 N Main St
Monticello, KY 42633-1438
Phone
(606) 348-9392
Fax
(606) 348-4942
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Dr. James H. Sawyer, O.D.NPI 1427066406
Title
Owner
Phone
(606) 348-9392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

150 N Main St
Monticello, KY 42633-1438

Mailing address

150 N Main St
Monticello, KY 42633-1438
Phone (606) 348-9392

Other identifiers 2

IdentifierTypeStateIssuer
77010833MedicaidKY
000000050472OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051026000911 KY Part B Supplier - Clinic/Group Practice 9638196967 Receives reassigned benefits from 1 practitioner
Practice locations: Monticello, KY

National Provider Directory

National Provider Directory

Locations

150 N Main St
Monticello, KY 42633
Phone (606) 348-9392

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1225217201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N MAIN ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331438",
            "telephone_number": "606-348-9392",
            "fax_number": "606-348-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MAIN ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426331438",
            "telephone_number": "606-348-9392",
            "fax_number": "606-348-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H. SAWYER, O.D., P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "SAWYER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-348-9392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77010833",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000050472",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.