James L Driggars, OD – Optometrist in Clanton, AL

Key facts

NPI: 1801873302
Entity type: Individual (NPI type 1)
Primary specialty: Optometrist 152W00000X
License: S337TA029 (AL)
Practice address: 109 Medical Center Drive
Clanton, AL 35045
Phone: (205) 755-2296
Fax: (205) 755-9378
NPI assigned: Dec 27, 2005
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
S337TA029	AL	MD	Optometrist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Optometrist	152W00000X	S337TA029	AL	Yes

Addresses

Primary practice location

109 Medical Center Drive
Clanton, AL 35045

Mailing address

PO Box 1307
Clanton, AL 35046
Phone (205) 755-2296

Other identifiers

Identifier	Type	State	Issuer
19780	Other		SPECTERA
000059435	Medicaid	AL
630741374	Other		VSP
870000837	Other		RAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 25, 2010.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1801873302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1307",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "35046",
            "telephone_number": "205-755-2296",
            "fax_number": "205-755-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MEDICAL CENTER DRIVE",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "35045",
            "telephone_number": "205-755-2296",
            "fax_number": "205-755-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIGGARS",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S337TA029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "19780",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000059435",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "630741374",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "870000837",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

All providers in Clanton, AL · Optometrist in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.