MEDICARE: JAMES H BELCHER O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0618000010	VA
2	152WC0802X	Corneal and Contact Management Optometrist	0618000010	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	580613325	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568468379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES H BELCHER O.D.

Provider Business Mailing Address
First Line	:	PO BOX 833
Second Line	:
City	:	RICHLANDS
State	:	VA
Zip	:	24641-0833
Country	:	US
Telephone Number	:	276-701-0468
Fax Number	:	276-963-7685

Provider Business Practice Location Address
First Line	:	315 LEE ST
Second Line	:
City	:	RICHLANDS
State	:	VA
Zip	:	24641-2427
Country	:	US
Telephone Number	:	276-701-0468
Fax Number	:	276-963-7685

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	12/11/2011

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