Active NPI
James Spears, O.D.
- Optometrist
- Grand Rapids, MI
National Provider Identifier
1750345674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002771
- Practice address
- 2860 E Beltline Ave NE
Grand Rapids, MI 49525-9704 - Phone
- (616) 364-8484
- Fax
- (616) 364-9686
- NPI assigned
- Apr 17, 2006
- Last updated
- Nov 3, 2010
- 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 | 4901002771 | MI | Primary |
Addresses
Primary practice location
2860 E Beltline Ave NE
Grand Rapids, MI 49525-9704
Mailing address
2860 E Beltline Ave NE
Grand Rapids, MI 49525-9704
Phone (616) 364-8484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94-5089046 | Medicaid | MI |
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": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288742400000",
"number": "1750345674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 E BELTLINE AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259704",
"telephone_number": "616-364-8484",
"fax_number": "616-364-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 E BELTLINE AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259704",
"telephone_number": "616-364-8484",
"fax_number": "616-364-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "JAMES",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2010-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901002771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94-5089046",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.