Active NPI
James Larry Pritchett, O.D.
- Optometrist
- Camilla, GA
National Provider Identifier
1407941883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT000689
- Practice address
- 162 E Broad St
Camilla, GA 31730-1841 - Phone
- (229) 336-8991
- Fax
- (229) 336-0141
- NPI assigned
- Oct 3, 2006
- Last updated
- Dec 16, 2009
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT000689 | GA | Primary |
Addresses
Primary practice location
162 E Broad St
Camilla, GA 31730-1841
Mailing address
279 Pearson Dr SW
Dawson, GA 39842-1914
Phone (229) 995-2920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT000689 | GA | MD | Optometrist |
| 689 | GA | MD | Case Manager/Care Coordinator |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Camilla, GA
- NPI 1750430567
-
- Optometrist
- Cuthbert, GA
- NPI 1760531321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1407941883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 PEARSON DR SW",
"city": "DAWSON",
"state": "GA",
"postal_code": "398421914",
"telephone_number": "229-995-2920",
"fax_number": "229-995-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 E BROAD ST",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317301841",
"telephone_number": "229-336-8991",
"fax_number": "229-336-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITCHETT",
"first_name": "JAMES",
"middle_name": "LARRY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT000689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camilla, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.