Individual provider Active NPI

James Richard Vitale, O.D.

  • Optometrist
  • Plaistow, NH
National Provider Identifier
1811910136
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NH 367 Issued in NH
Practice address
161 Main St
Plaistow, NH 03865-3020
Phone
(603) 382-8989
Fax
(603) 382-1151
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NH 367 NH Primary

Addresses

Primary practice location

161 Main St
Plaistow, NH 03865-3020

Mailing address

161 Main St
Plaistow, NH 03865-3020
Phone (603) 382-8989

Other identifiers 1

IdentifierTypeStateIssuer
80587881MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050215000497 NH Practitioner - Optometry 8022060433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean Family Eyecare, PLLCGroup PAC ID 9739537424, 4 clinicians

Practice addresses (Care Compare)

161 Main St
Plaistow, NH 03865-3020
Phone (603) 382-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NH 367NHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Family Eyecare, PLLC Optometrist CurrentSince Oct 31, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1811910136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MAIN ST",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038653020",
            "telephone_number": "603-382-8989",
            "fax_number": "603-382-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MAIN ST",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038653020",
            "telephone_number": "603-382-8989",
            "fax_number": "603-382-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITALE",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "NH 367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80587881",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaistow, NH

Sources for this page

Verify at the official NPI Registry.