Individual provider Active NPI

James Fitch, O.D.

  • Optometrist
  • Amarillo, TX
National Provider Identifier
1740293919
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04463TG Issued in TX
Practice address
8601 SW 45TH Ave
Amarillo, TX 79119-6565
Phone
(806) 355-4407
Fax
(806) 355-5855
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 04463TG TX Primary

Addresses

Primary practice location

8601 SW 45TH Ave
Amarillo, TX 79119-6565

Mailing address

8601 SW 45TH Ave
Amarillo, TX 79119-6565
Phone (806) 355-4407

Other identifiers 1

IdentifierTypeStateIssuer
042042401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110627000680 TX Practitioner - Optometry 1759441462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amarillo Eye Associates PCGroup PAC ID 6608936315, 3 clinicians

Practice addresses (Care Compare)

8601 SW 45TH Ave
Amarillo, TX 79119-6565
Phone (806) 355-4407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4463TXMDChiropractor
04463TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Eye Associates PC Optometrist CurrentSince Oct 7, 1991 Accepting new patients
Bal 4 Eyes Inc PastSince Sep 27, 2004 Accepting new patients

Locations

8601 SW 45th Ave
Amarillo, TX 79119
Phone (806) 355-4407

1320 W Wilson St
Borger, TX 79007
Phone (806) 274-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1740293919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 SW 45TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196565",
            "telephone_number": "806-355-4407",
            "fax_number": "806-355-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 SW 45TH AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196565",
            "telephone_number": "806-355-4407",
            "fax_number": "806-355-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "04463TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042042401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.