Provider Demographics
NPI:1225217201
Name:JAMES H. SAWYER, O.D., P.S.C.
Entity Type:Organization
Organization Name:JAMES H. SAWYER, O.D., P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:606-348-9392
Mailing Address - Street 1:150 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:KY
Mailing Address - Zip Code:42633-1438
Mailing Address - Country:US
Mailing Address - Phone:606-348-9392
Mailing Address - Fax:606-348-4942
Practice Address - Street 1:150 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:KY
Practice Address - Zip Code:42633-1438
Practice Address - Country:US
Practice Address - Phone:606-348-9392
Practice Address - Fax:606-348-4942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY77010833Medicaid
000000050472OtherBCBS
KY0478180001Medicare NSC
7214Medicare PIN
KY77010833Medicaid