Provider Demographics
NPI:1568660199
Name:ADAMEK, JAMES FRANKLIN (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRANKLIN
Last Name:ADAMEK
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 1:10546 HWY 62 BLDG 4
Mailing Address - Street 2:
Mailing Address - City:EAGLE POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97524-9435
Mailing Address - Country:US
Mailing Address - Phone:541-826-7910
Mailing Address - Fax:541-826-6910
Practice Address - Street 1:10546 HWY 62 BLDG 4
Practice Address - Street 2:
Practice Address - City:EAGLE POINT
Practice Address - State:OR
Practice Address - Zip Code:97524-9435
Practice Address - Country:US
Practice Address - Phone:541-826-7910
Practice Address - Fax:541-826-6910
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3219ATI152W00000X
OR3219152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR244233Medicaid