Active NPI
James B Wright
- Optometrist
- Gas City, IN
National Provider Identifier
1891844106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1460
- Practice address
- 125 S 7TH St
Gas City, IN 46933-2061 - Phone
- (765) 674-7781
- Fax
- (765) 674-7782
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 8, 2008
- 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 | 1460 | IN | Primary |
Addresses
Primary practice location
125 S 7TH St
Gas City, IN 46933-2061
Mailing address
125 S 7TH St
Gas City, IN 46933-2061
Phone (765) 674-7781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900280070A | Medicaid | IN |
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 |
|---|---|---|---|
| 1460 | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1891844106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S 7TH ST",
"city": "GAS CITY",
"state": "IN",
"postal_code": "469332061",
"telephone_number": "765-674-7781",
"fax_number": "765-674-7782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S 7TH ST",
"city": "GAS CITY",
"state": "IN",
"postal_code": "469332061",
"telephone_number": "765-674-7781",
"fax_number": "765-674-7782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "JAMES",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "1460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900280070A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gas City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.