Active NPI
James R Vitale
- Optometrist
- Plaistow, NH
National Provider Identifier
1508047119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 367NH
- Legal business name
- JAMES R VITALE
- Practice address
- 161 Main St
Plaistow, NH 03865-3020 - Phone
- (603) 382-8989
- Fax
- (603) 382-1151
- NPI assigned
- Nov 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James R Vitale, O.D.
- Title
- Proprietor
- Phone
- (603) 382-8989
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 367NH | NH | Primary |
Addresses
Primary practice location
161 Main St
Plaistow, NH 03865-3020
Mailing address
PO Box 309
161 Main Street
Plaistow, NH 03865-0309
Phone (603) 382-8989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80587881 | Medicaid | NH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Merrimack, NH
- NPI 1508028812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197936000000",
"number": "1508047119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 309",
"address_2": "161 MAIN STREET",
"city": "PLAISTOW",
"state": "NH",
"postal_code": "038650309",
"telephone_number": "603-382-8989",
"fax_number": "603-382-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 MAIN ST",
"city": "PLAISTOW",
"state": "NH",
"postal_code": "038653020",
"telephone_number": "603-382-8989",
"fax_number": "603-382-1151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES R VITALE",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-26",
"last_updated": "2007-12-18",
"status": "A",
"authorized_official_last_name": "VITALE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PROPRIETOR",
"authorized_official_telephone_number": "603-382-8989",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NH",
"license": "367NH",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80587881",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plaistow, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.