Active NPI
J Larry Pritchett O D P C
- Optometrist
- Camilla, GA
National Provider Identifier
1750430567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT000689
- Legal business name
- J LARRY PRITCHETT O D P C
- Practice address
- 162 E Broad St
Camilla, GA 31730-1841 - Phone
- (229) 336-8991
- Fax
- (229) 336-0141
- NPI assigned
- Jan 10, 2007
- Organization subpart
- Yes
- Parent organization
- J LARRY PRITCHETT O D P C
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Larry Pritchett, O.D.
- Title
- Ceo
- Phone
- (229) 995-2920
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT000689 | GA | Primary |
| Eyewear Supplier | 332H00000X | OPT000689 | GA |
Addresses
Primary practice location
162 E Broad St
Camilla, GA 31730-1841
Mailing address
279 Pearson Dr SW
Dawson, GA 39842-1914
Phone (229) 995-2920
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52103165 001 | Other | BCBSGA | |
| 000004199B | Medicaid | GA |
National Provider Directory
National Provider Directory- Part of
- J Larry Pritchett OD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264032000000",
"number": "1750430567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 PEARSON DR SW",
"city": "DAWSON",
"state": "GA",
"postal_code": "398421914",
"telephone_number": "229-995-2920",
"fax_number": "229-995-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 E BROAD ST",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317301841",
"telephone_number": "229-336-8991",
"fax_number": "229-336-0141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J LARRY PRITCHETT O D P C",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "J LARRY PRITCHETT O D P C",
"enumeration_date": "2007-01-10",
"last_updated": "2010-01-21",
"status": "A",
"authorized_official_last_name": "PRITCHETT",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "LARRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "229-995-2920",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "OPT000689",
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "GA",
"license": "OPT000689",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSGA",
"identifier": "52103165 001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000004199B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camilla, GA
- Hospital Authority of Mitchell County
- Hospital Authority of Mitchell County
- Hospital Authority of Mitchell County
- Hospital Authority of Mitchell County
- Innovative Solutions Personal Care Home
- Shenika Laverne Jackson, O.T.
- Torry Jackson
- Keith Lanel Jenkins Sr., BSW
- JHM,Inc.
- John D. Archbold Memorial Hospital, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.