NPIMap

Organization Active NPI

James Optical Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oregon, OH
National Provider Identifier
1437329513
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
SC 2077 Issued in OH
Legal business name
JAMES OPTICAL INC.
Practice address
2737 Navarre Ave Ste 204
Oregon, OH 43616-3276
Phone
(419) 693-3376
Fax
(419) 693-7519
NPI assigned
Mar 5, 2008
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Wilfred James Fennewald, L.D.O.NPI 1093790941
Title
Licensed Optican
Phone
(419) 693-3376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SC 2077 OH Primary

Addresses

Primary practice location

2737 Navarre Ave Ste 204
Oregon, OH 43616-3276

Mailing address

2737 Navarre Ave Ste 204
Oregon, OH 43616-3276
Phone (419) 693-3376

Other identifiers 2

IdentifierTypeStateIssuer
0511637MedicaidOH
10251OtherPARAMOUNT HEALTH CARE

National Provider Directory

National Provider Directory

Locations

2737 Navarre Ave
Ste 204
Oregon, OH 43616
Phone (419) 693-3376

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1437329513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 NAVARRE AVE STE 204",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163276",
            "telephone_number": "419-693-3376",
            "fax_number": "419-693-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 NAVARRE AVE STE 204",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163276",
            "telephone_number": "419-693-3376",
            "fax_number": "419-693-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "FENNEWALD",
        "authorized_official_first_name": "WILFRED",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "LICENSED OPTICAN",
        "authorized_official_telephone_number": "419-693-3376",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "SC 2077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0511637",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HEALTH CARE",
            "identifier": "10251",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.