Provider Demographics
NPI:1912094764
Name:PITTMAN, JAMES WILLIAM JR (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:PITTMAN
Suffix:JR
Gender:M
Credentials:OD
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Mailing Address - Street 1:2820 DEER RUN DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-7039
Mailing Address - Country:US
Mailing Address - Phone:818-448-2681
Mailing Address - Fax:775-267-9087
Practice Address - Street 1:3770 US HIGHWAY 395 S
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89705-6898
Practice Address - Country:US
Practice Address - Phone:775-267-5611
Practice Address - Fax:775-267-9087
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2018-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJTO1083152W00000X
NV925152W00000X
NJOA5680152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist