Active NPI
John Richard Latch, OD
- Optometrist
- Savannah, GA
National Provider Identifier
1760573943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02549
- Practice address
- 1170 Shawnee St
Savannah, GA 31419-1618 - Phone
- (912) 920-0214
- NPI assigned
- Sep 27, 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 | 02549 | TX | Primary |
Addresses
Primary practice location
1170 Shawnee St
Savannah, GA 31419-1618
Mailing address
44 Sedgefield CT
Richmond Hill, GA 31324-4289
Phone (912) 756-6237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02549 | Other | TX | LICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02549 | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596758400000",
"number": "1760573943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 SEDGEFIELD CT",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313244289",
"telephone_number": "912-756-6237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 SHAWNEE ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191618",
"telephone_number": "912-920-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATCH",
"first_name": "JOHN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "02549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "02549",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.