Individual
JAMES E. TEARSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A42953
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A429531
—
CA
01
—
180009109
RRM PIN
—
01
—
A42953
STATE LICENSE
—
01
—
DC7365
RRM GROUP
—
01
—
ZZZ09989Z
BLUE SHIELD GROUP
CA
Enumeration date
09/03/2006
Last updated
05/12/2015
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