Individual
DR. JAMES ALLEN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6101 NEWPORT RD, SUITE A, PORTAGE, MI 49002-9233
(269) 382-6500
(269) 382-2286
Mailing address
6101 NEWPORT RD, SUITE A, PORTAGE, MI 49002-9233
(269) 382-6500
(269) 382-2286
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002440
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17800
SPECTERA
MI
01
—
2230411
UHC,IBA,PHP
MI
01
—
381734365
TAX ID
MI
01
—
4901002440
LICENSE
MI
05
—
5031190
—
MI
01
—
900C947460
BCBS
MI
Enumeration date
10/12/2005
Last updated
04/13/2010
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