Provider Demographics
NPI:1053325779
Name:LIM, JAMES TION (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:TION
Last Name:LIM
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:540 HUGHES RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-8999
Mailing Address - Country:US
Mailing Address - Phone:256-772-4005
Mailing Address - Fax:256-772-5999
Practice Address - Street 1:540 HUGHES RD
Practice Address - Street 2:SUITE 11
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8999
Practice Address - Country:US
Practice Address - Phone:256-772-4005
Practice Address - Fax:256-772-5999
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALS-736-TA386152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALU20659Medicare UPIN