Individual provider Active NPI

James Alan Volkenant, L.D. OPTICIAN

  • Optician
  • Tucson, AZ
National Provider Identifier
1750411922
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
AZ1114 Issued in AZ
Practice address
6458 N Oracle Rd Ste 1
Tucson, AZ 85704-5609
Phone
(520) 742-0393
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X AZ1114 AZ Primary

Addresses

Primary practice location

6458 N Oracle Rd Ste 1
Tucson, AZ 85704-5609

Mailing address

6458 N Oracle Rd # No.1
Tucson, AZ 85704-5609
Phone (520) 742-0393

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AZ1114AZMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750411922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6458 N ORACLE RD # NO.1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045609",
            "telephone_number": "520-742-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6458 N ORACLE RD STE 1",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045609",
            "telephone_number": "520-742-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLKENANT",
        "first_name": "JAMES",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "L.D. OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "AZ1114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

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.

Verify at the official NPI Registry.