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NPI Code Detail

MEDICARE: JAMES WILLIAM ANDREWS, OD

MEDICARE: JAMES WILLIAM ANDREWS, OD
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
1332H00000XEyewear SupplierOPC1391FL
2152W00000XOptometristOPC1391FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11265425755OTHERNPI

General Provider Information

NPI Number : 1043497209
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES WILLIAM ANDREWS, OD
Provider Business Mailing Address
First Line : 5062 MOBILE HWY
Second Line :
City : PENSACOLA
State : FL
Zip : 32506-3240
Country : US
Telephone Number : 850-453-4373
Fax Number : 850-453-1953
Provider Business Practice Location Address
First Line : 5062 MOBILE HWY
Second Line :
City : PENSACOLA
State : FL
Zip : 32506-3240
Country : US
Telephone Number : 850-453-4373
Fax Number : 850-453-1953
Authorized Official
Title or Position : OWNER
Name : DR. JAMES WILLIAM ANDREWS
Credential : O.D.
Telephone Number : 850-453-4373
Provider Enumeration Date : 01/29/2008
Last Update Date : 08/27/2020

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Practice Location Address:
5062 MOBILE HWY
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32506-3240
Practice Phone: 850-453-4373
Practice Fax: 850-453-1953
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