Provider Demographics
NPI:1104986868
Name:OFFICER, JAMES MURRAY (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MURRAY
Last Name:OFFICER
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:3048 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEMON GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:91945-2426
Mailing Address - Country:US
Mailing Address - Phone:619-469-9668
Mailing Address - Fax:619-466-2677
Practice Address - Street 1:3048 MAIN ST
Practice Address - Street 2:
Practice Address - City:LEMON GROVE
Practice Address - State:CA
Practice Address - Zip Code:91945-2426
Practice Address - Country:US
Practice Address - Phone:619-469-9668
Practice Address - Fax:619-466-2677
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAOP 8555152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT70273Medicare UPIN