Jim Andrews, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9654T Issued in CA

Practice address

605 Fletcher Pkwy
El Cajon, CA 92020-2522

Phone

(619) 590-1994

NPI assigned

Apr 13, 2007

Last updated

Aug 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1336363852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 BELLEZZA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921086749",
            "telephone_number": "619-881-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 FLETCHER PKWY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202522",
            "telephone_number": "619-590-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "JIM",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9654T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Rolf Andersen, OTR/L
• Adrienne Anderson
• Breanna Leigh Anderson, M.A., BCBA
• Matthew John Anderson, PA-C
• Megan Justine Anderson, MS, APCC
• Taylor Raae Andrews
• Andrzej Lubczuk Dental, Inc. (Dental Arts Dental Group)
• Rosemarie Ang, RN
• Angel Medical Transport LLC
• Angela McMahon (Development and Recovery)

• Optometrist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.