James L Edick OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3795 Issued in OH

Legal business name

JAMES L EDICK OD LLC

Practice address

6116 Boardwalk St
Columbus, OH 43229

Phone

(614) 430-8964

Fax

(614) 430-8965

NPI assigned

Jun 10, 2008

Last updated

Jun 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Laurence Edick, OD

Title

Optometrist

Phone

(614) 430-8964

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1376703850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 BOARDWALK ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43229",
            "telephone_number": "614-430-8964",
            "fax_number": "614-430-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 BOARDWALK ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43229",
            "telephone_number": "614-430-8964",
            "fax_number": "614-430-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L EDICK OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "EDICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LAURENCE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "614-430-8964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Youlanda Lynn James-Tate, LPN

• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.