James Kent Doub OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1330 Issued in NC

Legal business name

JAMES KENT DOUB OD PA

Practice address

2804 Reynolda Rd
Winston Salem, NC 27106-3102

Phone

(336) 722-2041

Fax

(336) 777-8842

NPI assigned

Feb 20, 2010

Organization subpart

No

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

Authorized official

Name

James Kent Doub, OD

Title

President

Phone

(336) 722-2042

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1266624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1376865188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 REYNOLDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063102",
            "telephone_number": "336-722-2041",
            "fax_number": "336-777-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 REYNOLDA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063102",
            "telephone_number": "336-722-2041",
            "fax_number": "336-777-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES KENT DOUB OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-20",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "DOUB",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-722-2042",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916244",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaime E Trujillo MD PA
• Vasudha Jain, MD
• Vernika Jain, MS, EDS, LCMHCA, NC
• Ashish Jairath, M.D.
• Christabel Jaiyeola, MD (AS OF 06/28/19)
• James M. Walter, Jr, DDS, Ms, PA
• Beth James, LCSWA
• Biajah James
• Brandon Andre Jevon James, LCMHC,LCAS-A, CRC
• Cambria Collins James

• Optometrist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.