Individual provider Active NPI

James K Cunningham, OD

  • Corneal and Contact Management Optometrist
  • Ada, OK
National Provider Identifier
1871502674
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OK-2031 Issued in OK
Practice address
700 E Main St
Ada, OK 74820-5614
Phone
(580) 332-3936
Fax
(580) 332-3939
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OK-2031 OK Primary

Addresses

Primary practice location

700 E Main St
Ada, OK 74820-5614

Mailing address

700 E Main St
Ada, OK 74820-5614
Phone (580) 332-3936

Other identifiers 1

IdentifierTypeStateIssuer
100761700AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051107000046 OK Practitioner - Optometry 3870511041 Practice locations: Ada, OK
O20101112000347 OK DME Supplier - Physician - Optometrist 2264452671 Practice locations: Ada, OK

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

700 E Main St
Ada, OK 74820-5614
Phone (580) 332-3936

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OK-2031OKMDCorneal and Contact Management Optometrist
2031OKMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: jkcunningham@adavisionsource.eyefinitydirect.com

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1871502674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E MAIN ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205614",
            "telephone_number": "580-332-3936",
            "fax_number": "580-332-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E MAIN ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748205614",
            "telephone_number": "580-332-3936",
            "fax_number": "580-332-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JAMES",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OK",
            "license": "OK-2031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761700A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.