Individual provider Active NPI

James Clifford Wright, OD

  • Optometrist
  • San Leandro, CA
National Provider Identifier
1396811154
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7097T Issued in CA
Practice address
15251 E 14TH St
Suite B
San Leandro, CA 94578-1905
Phone
(510) 481-2121
NPI assigned
Nov 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 7097T CA Primary

Addresses

Primary practice location

15251 E 14TH St
Suite B
San Leandro, CA 94578-1905

Mailing address

172 Hillcrest Rd
Berkeley, CA 94705-2846

Other identifiers 1

IdentifierTypeStateIssuer
7097TOtherCACA STATE OPTOMETRY LICENS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7097TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Wu, O.D., a Professional Corporation Optometrist PastSince Oct 1, 2024 Accepting new patients
Geronimo & Leong, Professional Optometric Corporation Optometrist PastSince Jul 1, 2003 Accepting new patients

Organizations & group practices 2

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": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396811154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 HILLCREST RD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15251 E 14TH ST",
            "address_2": "SUITE B",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781905",
            "telephone_number": "510-481-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JAMES",
        "middle_name": "CLIFFORD",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7097T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE OPTOMETRY LICENS",
            "identifier": "7097T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.