Healthcare Provider Details

I. General information

NPI: 1235352816
Provider Name (Legal Business Name): JAMES RICHARD TOWNLEY III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: J RICHARD TOWNLEY MD

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5955 ZEAMER AVE
ANCHORAGE AK
99506
US

IV. Provider business mailing address

5955 ZEAMER AVE
ANCHORAGE AK
99506-3702
US

V. Phone/Fax

Practice location:
  • Phone: 907-580-1162
  • Fax:
Mailing address:
  • Phone: 907-580-1162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number243519
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License NumberR5483
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number161861
License Number StateAK
# 4
Primary TaxonomyN
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number24179
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: