Provider Demographics
NPI:1528052032
Name:JAMES, RICHARD C (OD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:C
Last Name:JAMES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 PO BOX
Mailing Address - Street 2:
Mailing Address - City:EFFORT
Mailing Address - State:PA
Mailing Address - Zip Code:18330-0550
Mailing Address - Country:US
Mailing Address - Phone:570-234-6733
Mailing Address - Fax:866-813-7370
Practice Address - Street 1:214 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-2821
Practice Address - Country:US
Practice Address - Phone:570-424-2004
Practice Address - Fax:570-424-2003
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000232152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA620113OtherBLUE SHIELD
PA76270OtherGEISINGER
PA5091532OtherAETNA
PA815-691OtherFIRST PRIORITY HEALTH
PA620113OtherBLUE SHIELD
PA815-691OtherFIRST PRIORITY HEALTH