Active NPI
James E Creech, O.D.
- Optometrist
- Temecula, CA
National Provider Identifier
1750431987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT7861
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0078610 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7861 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| OPT7861 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James E Creech | Optometrist | Past | Accepting new patients |
| Komm Medical Eye & Vision Group, LTD. | Optometrist | Past | 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.
-
- Optometrist
- Temecula, CA
- NPI 1114101003
-
- Optometrist
- Bethesda, MD
- NPI 1164582441
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.