Active NPI
James Joseph Cutler, O.D.
- Optometrist
- Upland, CA
National Provider Identifier
1982702023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CA9229T
- Practice address
- 1637 N Mountain Ave
Upland, CA 91784-1732 - Phone
- (909) 982-0100
- Fax
- (909) 985-1552
- NPI assigned
- Sep 20, 2006
- Last updated
- Apr 7, 2014
- 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 | CA9229T | CA | Primary |
Addresses
Primary practice location
1637 N Mountain Ave
Upland, CA 91784-1732
Mailing address
1637 N Mountain Ave
Upland, CA 91784-1732
Phone (909) 982-0100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0092290 | Medicaid | CA | |
| 399-5653-7 | Other | CA | STATE ID # |
| 93-1118263 | Other | FEDERAL TAX ID # |
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 |
|---|---|---|---|
| CA9229T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth Boyer OD, Inc | Optometrist | Past | Accepting new patients |
| Dr. Kim Optometry Upland Inc | Optometrist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Upland, CA
- NPI 1326967183
-
- Optometrist
- La Verne, CA
- NPI 1164058798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396828800000",
"number": "1982702023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1637 N MOUNTAIN AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917841732",
"telephone_number": "909-982-0100",
"fax_number": "909-985-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1637 N MOUNTAIN AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917841732",
"telephone_number": "909-982-0100",
"fax_number": "909-985-1552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTLER",
"first_name": "JAMES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2014-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "CA9229T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0092290",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE ID #",
"identifier": "399-5653-7",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID #",
"identifier": "93-1118263",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.