Provider Demographics
NPI:1447413489
Name:JAMES H ENGLISH OD PC
Entity Type:Organization
Organization Name:JAMES H ENGLISH OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-635-8191
Mailing Address - Street 1:8129 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:SWARTZ CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:48473-1335
Mailing Address - Country:US
Mailing Address - Phone:810-635-8191
Mailing Address - Fax:
Practice Address - Street 1:8129 MILLER RD
Practice Address - Street 2:
Practice Address - City:SWARTZ CREEK
Practice Address - State:MI
Practice Address - Zip Code:48473-1335
Practice Address - Country:US
Practice Address - Phone:810-635-8191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002271152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0B56582Medicare PIN