Individual provider Active NPI

James E Creech, O.D.

  • Optometrist
  • Temecula, CA
National Provider Identifier
1750431987
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT7861 Issued in CA
Practice address
41238 Margarita Rd Ste 105
Temecula, CA 92591-5552
Phone
(951) 587-2333
Fax
(951) 587-2553
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT7861 CA Primary

Addresses

Primary practice location

41238 Margarita Rd Ste 105
Temecula, CA 92591-5552

Mailing address

41238 Margarita Rd Ste 105
Temecula, CA 92591-5552
Phone (951) 587-2333

Other identifiers 1

IdentifierTypeStateIssuer
SD0078610MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090408000295 CA Practitioner - Optometry 1951458926 Practice locations: Temecula, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

41238 Margarita Rd
Suite 105
Temecula, CA 92591-5552
Phone (951) 587-2333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7861CAMDAddiction (Substance Use Disorder) Counselor
OPT7861CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James E Creech Optometrist PastSince Jan 1, 1990 Accepting new patients
Komm Medical Eye & Vision Group, LTD. Optometrist PastSince Jul 19, 2020 Accepting new patients

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1750431987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41238 MARGARITA RD STE 105",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915552",
            "telephone_number": "951-587-2333",
            "fax_number": "951-587-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41238 MARGARITA RD STE 105",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915552",
            "telephone_number": "951-587-2333",
            "fax_number": "951-587-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREECH",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0078610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.