Active NPI
James E Ralls, O.D.
- Optometrist
- Oelwein, IA
National Provider Identifier
1861515983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1483
- Practice address
- 18 E Charles St
Oelwein, IA 50662-1739 - Phone
- (319) 283-3315
- NPI assigned
- Apr 6, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 1483 | IA | Primary |
Addresses
Primary practice location
18 E Charles St
Oelwein, IA 50662-1739
Mailing address
18 E Charles St
PO Box 472
Oelwein, IA 50662-1739
Phone (319) 283-3315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017897 | Medicaid | IA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1483 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861515983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 E CHARLES ST",
"address_2": "PO BOX 472",
"city": "OELWEIN",
"state": "IA",
"postal_code": "506621739",
"telephone_number": "319-283-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 E CHARLES ST",
"city": "OELWEIN",
"state": "IA",
"postal_code": "506621739",
"telephone_number": "319-283-3315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RALLS",
"first_name": "JAMES",
"middle_name": "E",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "1483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017897",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oelwein, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.