Active NPI
James Daniel Abel, OD
- Optometrist
- Renton, WA
National Provider Identifier
1255945390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD61096235
- Practice address
- 17801 108TH Ave SE
Renton, WA 98055-6423 - Phone
- (206) 430-4600
- NPI assigned
- Sep 5, 2020
- Last updated
- Sep 5, 2020
- 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 | OD61096235 | WA | Primary |
Addresses
Primary practice location
17801 108TH Ave SE
Renton, WA 98055-6423
Mailing address
15902 98TH Ave NE
Bothell, WA 98011-7512
Phone (206) 430-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35124 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tedder Optometry Group, PC | Optometrist | Current | Accepting new patients |
| Tedder Optometric Clinic Management, P.C. | Optometrist | Past | Accepting new patients |
Locations
530 New Los Angeles Ave
Ste 115269
Moorpark, CA 93021
Phone (805) 624-1255
939 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 279-2472
Interoperability endpoints
- james.abel@70976835354628.direct.elationemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- San Dimas, CA
- NPI 1184484222
-
- Optometrist
- Fontana, CA
- NPI 1851091805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599264000000",
"number": "1255945390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15902 98TH AVE NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980117512",
"telephone_number": "206-430-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17801 108TH AVE SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980556423",
"telephone_number": "206-430-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABEL",
"first_name": "JAMES",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-05",
"last_updated": "2020-09-05",
"certification_date": "2020-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD61096235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
- Jesse Abbott Klafter, M.D.
- Abc Physical Therapy (Alternative Back Care Physical Therapy)
- Hanifa Mohammed Abdala
- Sillvanna Abdu
- Amal Abdulrahman
- Sumam Marion Abraham
- Abundant Care and Dignity Afh LLC
- Accentcare Home Health of King County, LLC
- Accentcare of Washington, Inc.
- Access Speech & Language Therapy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.