Organization Active NPI

James R Vitale

  • Optometrist
  • Plaistow, NH
National Provider Identifier
1508047119
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
367NH Issued in NH
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

Updated by the provider on Dec 18, 2007

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
80587881MedicaidNH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.