Provider Demographics
NPI:1265511802
Name:DEVLEMING, JAMES P (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:DEVLEMING
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-2619
Mailing Address - Country:US
Mailing Address - Phone:509-334-1131
Mailing Address - Fax:509-332-4062
Practice Address - Street 1:238 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-2619
Practice Address - Country:US
Practice Address - Phone:509-334-1131
Practice Address - Fax:509-332-4062
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1925TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2025419Medicaid
WA55813OtherL & I
WA0258000001Medicare NSC
U01618Medicare UPIN