Active NPI
James L Simnacher, OD, PA
- Optometrist
- Clovis, NM
National Provider Identifier
1760434864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 211
- Practice address
- 901 E 21St St
Clovis, NM 88101-4400 - Phone
- (575) 762-4463
- Fax
- (575) 762-7231
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 211 | NM | Primary |
Addresses
Primary practice location
901 E 21St St
Clovis, NM 88101-4400
Mailing address
PO Box 1390
Clovis, NM 88102-1390
Phone (575) 762-4463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P5291 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1760434864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1390",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881021390",
"telephone_number": "575-762-4463",
"fax_number": "575-762-7231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E 21ST ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881014400",
"telephone_number": "575-762-4463",
"fax_number": "575-762-7231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMNACHER",
"first_name": "JAMES",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD, PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NM",
"license": "211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P5291",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.