Active NPI
Nicholas James Cox, ABO
- Optician
- Baker City, OR
National Provider Identifier
1376711739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 3705 Midway Dr
Baker City, OR 97814-1456 - Phone
- (541) 523-2020
- Fax
- (541) 523-4965
- NPI assigned
- Feb 19, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
3705 Midway Dr
Baker City, OR 97814-1456
Mailing address
3705 Midway Dr
Baker City, OR 97814-1456
Phone (541) 523-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279170 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Optical Inc | Optician | Current | Accepting new patients |
Locations
3705 Midway Dr
Baker City, OR 97814
Phone (541) 523-4497
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242950400000",
"number": "1376711739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3705 MIDWAY DR",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141456",
"telephone_number": "541-523-2020",
"fax_number": "541-523-4965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 MIDWAY DR",
"city": "BAKER CITY",
"state": "OR",
"postal_code": "978141456",
"telephone_number": "541-523-2020",
"fax_number": "541-523-4965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "NICHOLAS",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "ABO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-19",
"last_updated": "2009-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279170",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baker City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.