# DR. JAMES A MUSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710964077
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 2053DT | KY | — |
| 152W00000X | Optometrist | OPC2774 | FL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | 2053DT | KY | — |

## Other

- **Enumeration date:** 12/28/2005
- **Last updated:** 04/24/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1649450115 | PTAN | FL |
| 01 | — | 203177656 | TAX ID | FL |
| 01 | — | 5686290001 | GROUP PTAN | FL |
| 01 | — | 610866345 | TAX IDENTIFICATION NUMBER | KY |
| 01 | — | K276010 | MEDICARE | KY |