Active NPI
James Patrick Callanan, O.D.
- Optometrist
- Bristol, VA
National Provider Identifier
1710089651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000021
- Practice address
- 721 Commonwealth Ave
Bristol, VA 24201-3321 - Phone
- (276) 466-3420
- Fax
- (276) 466-3387
- NPI assigned
- Sep 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 0618000021 | VA | Primary |
Addresses
Primary practice location
721 Commonwealth Ave
Bristol, VA 24201-3321
Mailing address
721 Commonwealth Ave
Bristol, VA 24201-3321
Phone (276) 466-3420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92-0503-9 | Medicaid | VA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710089651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 COMMONWEALTH AVE",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242013321",
"telephone_number": "276-466-3420",
"fax_number": "276-466-3387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 COMMONWEALTH AVE",
"city": "BRISTOL",
"state": "VA",
"postal_code": "242013321",
"telephone_number": "276-466-3420",
"fax_number": "276-466-3387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLANAN",
"first_name": "JAMES",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618000021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "92-0503-9",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, VA
- Buntings Specialty Care RX (Bunting's & Northside Pharmacy)
- Gail L Burd, OTR
- Kara Leann Bush, PHARMD
- Katharine Grayson-Reynolds Byrd, ED.S.
- Michael Cagle, DDS
- Allison Ruth Campbell Doss, M.S., CCC-SLP
- Careteam, LLC (CareTeam Universal Fibers)
- Brady Lynn Carter, PT DPT
- Heather Thomas Carter, FNP-C
- Kathryn Ann Caselli, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.