James W. Kershaw, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3130-T510 Issued in OH

Legal business name

JAMES W. KERSHAW, O.D., INC.

Practice address

26777 Lorain Rd Ste 203
North Olmsted, OH 44070-3226

Phone

(440) 734-4777

Fax

(440) 734-0555

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James W. Kershaw, O.D.

Title

Owner

Phone

(440) 734-4777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1750570701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 203",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703226",
            "telephone_number": "440-734-4777",
            "fax_number": "440-734-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 203",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703226",
            "telephone_number": "440-734-4777",
            "fax_number": "440-734-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W. KERSHAW, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "KERSHAW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-734-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3130-T510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.