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NPI Code Detail

MEDICARE: DR. JAMES JACOB WEYRICH O.D.

MEDICARE: DR. JAMES JACOB WEYRICH 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
1152W00000XOptometrist7658TCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285770560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES JACOB WEYRICH O.D.
Provider Business Mailing Address
First Line : 2018 E 17TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-8647
Country : US
Telephone Number : 714-564-0222
Fax Number : 714-564-9222
Provider Business Practice Location Address
First Line : 2018 E 17TH ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-8647
Country : US
Telephone Number : 714-564-0222
Fax Number : 714-564-9222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 03/25/2011

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