Individual
DR. JAMES A MUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2560 GULF TO BAY BLVD, CLEARWATER, FL 33765-4413
(727) 799-3772
Mailing address
2560 GULF TO BAY BLVD, CLEARWATER, FL 33765-4413
(727) 799-3772
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2053DT
KY
152W00000X
Optometrist
Primary
OPC2774
FL
152WC0802X
Corneal and Contact Management Optometrist
2053DT
KY
Other
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
Enumeration date
12/28/2005
Last updated
04/24/2024
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