Active NPI
Donald K James, OD
- Optometrist
- Lewiston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP-864
- Practice address
- 3330 4TH St
Lewiston, ID 83501-4405 - Phone
- (208) 746-2025
- Fax
- (208) 746-0413
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00003022 | WA | |
| Optometrist | 152W00000X | OPT-OPT-LIC-367 | MT | |
| Optometrist | 152W00000X | ODP-864 | ID | Primary |
Addresses
Primary practice location
3330 4TH St
Lewiston, ID 83501-4405
Mailing address
PO Box 1506
Chehalis, WA 98532-0409
Phone (360) 242-3008
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410044997 | Other | WA | RAIL ROAD MEDICARE |
| G8892821 | Other | WA | MEDICARE WA |
| 011003386 | Other | MT | MEDICARE MT |
| G8881305 | Other | WA | MEDICARE WA |
| 15923071 | Other | ID | MEDICARE ID |
| 410047408 | Other | MT | RAIL ROAD MEDICARE |
| 410020050 | Other | ID | RAIL ROAD MEDICARE |
| G8903366 | Other | WA | MEDICARE WA |
| 410044998 | Other | WA | RAIL ROAD MEDICARE |
| 410044999 | Other | WA | RAIL ROAD MEDICARE |
| G8964651 | Other | WA | MEDICARE WA |
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 |
|---|---|---|---|
| OPT-OPT-LIC-367 | MT | MD | Optometrist |
| OD00003022 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Cataract and Laser Institute Inc PC | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute Inc PC | Current | Accepting new patients |
Locations
2822 S Vista Ave
Boise, ID 83705
Phone (208) 385-7576
2517 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 748-8632
6695 W Rio Grande Ave
Kennewick, WA 99336
Phone (509) 736-0826
9598 Mickelberry Rd NW
Silverdale, WA 98383
Phone (360) 698-5062
16818 E Desmet Ct
Spokane Valley, WA 99216
Phone (360) 242-3008
3900 Kern Rd
Yakima, WA 98902
Phone (509) 966-1356
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Boise, ID
- NPI 1275700957
-
- Ambulatory Surgical Clinic/Center
- Chehalis, WA
- NPI 1487821633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1972610236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1506",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985320409",
"telephone_number": "360-242-3008",
"fax_number": "360-807-7687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 4TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835014405",
"telephone_number": "208-746-2025",
"fax_number": "208-746-0413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "DONALD",
"middle_name": "K",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003022",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MT",
"license": "OPT-OPT-LIC-367",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "410044997",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE WA",
"identifier": "G8892821",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MT",
"identifier": "011003386",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE WA",
"identifier": "G8881305",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "15923071",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "410047408",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "410020050",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE WA",
"identifier": "G8903366",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "410044998",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "410044999",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE WA",
"identifier": "G8964651",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.