Provider Demographics
NPI:1225092315
Name:LEWIS, JAMES S (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:S
Last Name:LEWIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8380 OLD YORK RD
Mailing Address - Street 2:110
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1539
Mailing Address - Country:US
Mailing Address - Phone:215-866-9090
Mailing Address - Fax:215-893-8779
Practice Address - Street 1:8380 OLD YORK RD
Practice Address - Street 2:SUITE 110A
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1539
Practice Address - Country:US
Practice Address - Phone:215-886-9090
Practice Address - Fax:877-245-3560
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
PAMD040339E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA515803TMDMedicare PIN