James H. Pennington, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001491B Issued in IN

Practice address

12101 Lima Rd.
Fort Wayne, IN 46818-9563

Phone

(260) 637-3166

Fax

(260) 637-3536

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318636800000",
    "number": "1760404024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 LIMA RD.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468189563",
            "telephone_number": "260-637-3166",
            "fax_number": "260-637-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 LIMA RD.",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468189563",
            "telephone_number": "260-637-3166",
            "fax_number": "260-637-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "JAMES",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001491B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landon Pence, DPT
• Laura Beth Pendrick, RPH
• Kimberly S Penland, FNP-BC, P.H.D.
• James Lee Penn, PTA
• Jamie Penn, RBT
• Matthew M Pennucci, DPT
• Phillip Craig Penny I, D.O.
• Christina Anita Pentsos, RN
• Beulah T. Penumudi, M.D.
• People and Pathways Consulting LLC

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.