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Individual

DONALD K JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3330 4TH ST, LEWISTON, ID 83501-4405
(208) 746-2025
(208) 746-0413
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD00003022
WA
152W00000X
Optometrist
Primary
ODP-864
ID
152W00000X
Optometrist
OPT-OPT-LIC-367
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011003386
MEDICARE MT
MT
01
15923071
MEDICARE ID
ID
01
410020050
RAIL ROAD MEDICARE
ID
01
410044997
RAIL ROAD MEDICARE
WA
01
410044998
RAIL ROAD MEDICARE
WA
01
410044999
RAIL ROAD MEDICARE
WA
01
410047408
RAIL ROAD MEDICARE
MT
01
G8881305
MEDICARE WA
WA
01
G8892821
MEDICARE WA
WA
01
G8903366
MEDICARE WA
WA
01
G8964651
MEDICARE WA
WA
Enumeration date
08/24/2006
Last updated
11/23/2020
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