Organization Active NPI

James R. Eakin O.D. PLLC

  • Optometrist
  • Laconia, NH
National Provider Identifier
1649203159
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
257 Issued in NH
Legal business name
JAMES R. EAKIN O.D. PLLC
Practice address
366 Union Ave
Laconia, NH 03246-2812
Phone
(603) 524-3085
Fax
(603) 524-2789
NPI assigned
Jul 8, 2006
Last updated
Apr 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
James R. Eakin, O.D.
Title
Owner/Manager
Phone
(603) 524-3085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 257 NH Primary

Addresses

Primary practice location

366 Union Ave
Laconia, NH 03246-2812

Mailing address

PO Box 1325
Laconia, NH 03247-1325
Phone (603) 524-3085

Other identifiers 4

IdentifierTypeStateIssuer
NA1171OtherNHHARVARD PILGRIM
3076909MedicaidNH
2260860OtherNHCIGNA
0907777Y0NH02OtherNHBLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Locations

366 Union Ave
Laconia, NH 03246
Phone (603) 524-3085

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1649203159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1325",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032471325",
            "telephone_number": "603-524-3085",
            "fax_number": "603-524-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 UNION AVE",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462812",
            "telephone_number": "603-524-3085",
            "fax_number": "603-524-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. EAKIN O.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "EAKIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "603-524-3085",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NH",
            "license": "257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "NA1171",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076909",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2260860",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0907777Y0NH02",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.