Organization Active NPI

James L. Haines O.D.

  • Optometrist
  • Zionsville, IN
National Provider Identifier
1629290416
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JAMES L. HAINES O.D.
Practice address
1375 Parkway Dr
Zionsville, IN 46077-1954
Phone
(317) 873-3000
Fax
(317) 733-2020
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Dr. James Leslie Haines, OD
Title
Owner
Phone
(317) 873-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1375 Parkway Dr
Zionsville, IN 46077-1954

Mailing address

1375 Parkway Dr
Zionsville, IN 46077-1954
Phone (317) 873-3000

Other identifiers 1

IdentifierTypeStateIssuer
200402290AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1629290416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 PARKWAY DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771954",
            "telephone_number": "317-873-3000",
            "fax_number": "317-733-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 PARKWAY DR",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771954",
            "telephone_number": "317-873-3000",
            "fax_number": "317-733-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L. HAINES O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-873-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200402290A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.