Provider Demographics
NPI:1568468379
Name:BELCHER, JAMES H (OD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:H
Last Name:BELCHER
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:PO BOX 833
Mailing Address - Street 2:
Mailing Address - City:RICHLANDS
Mailing Address - State:VA
Mailing Address - Zip Code:24641-0833
Mailing Address - Country:US
Mailing Address - Phone:276-701-0468
Mailing Address - Fax:276-963-7685
Practice Address - Street 1:315 LEE ST
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641-2427
Practice Address - Country:US
Practice Address - Phone:276-701-0468
Practice Address - Fax:276-963-7685
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2011-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000010152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA580613325OtherRAILROAD MEDICARE
VA9200894Medicaid
VAT21835Medicare UPIN
VA0175500001Medicare NSC
580613325Medicare PIN
VA9200894Medicaid
VA580613325OtherRAILROAD MEDICARE