Active NPI
James S Jambor, OD
- Optometrist
- Dayton, OH
National Provider Identifier
1669436036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2910
- Practice address
- 8216 N Main Street
Dayton, OH 45415-1641 - Phone
- (937) 454-2020
- Fax
- (937) 454-2024
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2910 | OH | Primary |
Addresses
Primary practice location
8216 N Main Street
Dayton, OH 45415-1641
Mailing address
8216 N Main Street
Dayton, OH 45415-1641
Phone (937) 454-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0353915 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2910 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1669436036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8216 N MAIN STREET",
"city": "DAYTON",
"state": "OH",
"postal_code": "454151641",
"telephone_number": "937-454-2020",
"fax_number": "937-454-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8216 N MAIN STREET",
"city": "DAYTON",
"state": "OH",
"postal_code": "454151641",
"telephone_number": "937-454-2020",
"fax_number": "937-454-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMBOR",
"first_name": "JAMES",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "2910",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0353915",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.