Individual provider Active NPI

James Larry Pritchett, O.D.

  • Optometrist
  • Camilla, GA
National Provider Identifier
1407941883
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT000689 Issued in GA
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT000689GAMDOptometrist
689GAMDCase 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.

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

Verify at the official NPI Registry.