Healthcare Provider Details

I. General information

NPI: 1528052032
Provider Name (Legal Business Name): RICHARD C JAMES O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 12/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 WASHINGTON ST
EAST STROUDSBURG PA
18301-2821
US

IV. Provider business mailing address

550 PO BOX
EFFORT PA
18330-0550
US

V. Phone/Fax

Practice location:
  • Phone: 570-424-2004
  • Fax: 570-424-2003
Mailing address:
  • Phone: 570-234-6733
  • Fax: 866-813-7370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG000232
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: