James P. Walsh O.D., LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-008528 Issued in IL

Legal business name

JAMES P. WALSH O.D., LLC

Practice address

2300 W White Oaks Dr
Sam'S Club Optical
Springfield, IL 62704-6423

Phone

(217) 698-7662

NPI assigned

May 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James P. Walsh, O.D.

Title

Managing Member

Phone

(217) 698-3426

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1235397449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 CHECKERBERRY LN",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627117203",
            "telephone_number": "217-698-3426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W WHITE OAKS DR",
            "address_2": "SAM'S CLUB OPTICAL",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046423",
            "telephone_number": "217-698-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES P. WALSH O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-26",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "217-698-3426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara M Jain, PA
• Michael G. Jakoby Sr., M.D.
• William Jakoby
• Pankaj Jalan, MD
• James E Farrow DMD, SC
• Jami Lynn Jamieson, L.C.S.W.
• William Kent Janes, CRNA
• Courtney Janiec
• David Janisch
• Sherry Ann Jankuski, OTR/L

• All providers in Springfield, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.