Organization Active NPI

James L. Abbott, OD, PC

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1609040187
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
338 Issued in AZ
Legal business name
JAMES L. ABBOTT, OD, PC
Practice address
1919 E McKellips Rd
Sutie 103
Mesa, AZ 85203-2844
Phone
(480) 844-2286
Fax
(480) 610-6641
NPI assigned
Apr 16, 2008
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
James L. Abbott II, ODNPI 1073597290
Title
Owner
Phone
(480) 844-2286

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
Optometrist 152W00000X 338 AZ Primary

Addresses

Primary practice location

1919 E McKellips Rd
Sutie 103
Mesa, AZ 85203-2844

Mailing address

1919 E McKellips Rd
Sutie 103
Mesa, AZ 85203-2844
Phone (480) 844-2286

National Provider Directory

National Provider Directory

Locations

630 E University Dr
Mesa, AZ 85203
Phone (480) 844-2286

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": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1609040187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 E MCKELLIPS RD",
            "address_2": "SUTIE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032844",
            "telephone_number": "480-844-2286",
            "fax_number": "480-610-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E MCKELLIPS RD",
            "address_2": "SUTIE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032844",
            "telephone_number": "480-844-2286",
            "fax_number": "480-610-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L. ABBOTT, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-844-2286",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.