Individual provider Active NPI

James Michael Witherington, OD

  • Optometrist
  • Cape Coral, FL
National Provider Identifier
1396759247
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1595 Issued in FL
Practice address
513 Cape Coral Pkwy W
Cape Coral, FL 33914-8507
Phone
(239) 985-0006
Fax
(239) 985-0333
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1595 FL Primary

Addresses

Primary practice location

513 Cape Coral Pkwy W
Cape Coral, FL 33914-8507

Mailing address

513 Cape Coral Parkway
Cape Coral, FL 33914
Phone (239) 985-0006

Other identifiers 1

IdentifierTypeStateIssuer
19010OtherFLBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714000244 FL Practitioner - Optometry 5991783532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC1595FLMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1396759247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 CAPE CORAL PARKWAY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33914",
            "telephone_number": "239-985-0006",
            "fax_number": "239-985-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 CAPE CORAL PKWY W",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339148507",
            "telephone_number": "239-985-0006",
            "fax_number": "239-985-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERINGTON",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "19010",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.