Provider Demographics
NPI:1639163710
Name:FRENCH, JAMES E (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:FRENCH
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 1:321 E WAYNE ST
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46802-2713
Mailing Address - Country:US
Mailing Address - Phone:260-424-5656
Mailing Address - Fax:260-424-4511
Practice Address - Street 1:321 E WAYNE ST
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46802-2713
Practice Address - Country:US
Practice Address - Phone:260-424-5656
Practice Address - Fax:260-424-4511
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18002689152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000528792OtherANTHEM
IN410045076OtherMEDICARE RR
OH2904254Medicaid
IN000000218565OtherANTHEM NONPAR
IN100463340Medicaid
IN410045075OtherMEDICARE RR
IN0258750001Medicare NSC
IN000000218565OtherANTHEM NONPAR
IN176220EMedicare PIN
IN151560EEEMedicare PIN
INU50880Medicare UPIN
IN252850CMedicare PIN
IN000000528792OtherANTHEM
IN136360FMedicare ID - Type Unspecified
IN0258750005Medicare NSC
INP00431045Medicare PIN
IN176050FMedicare PIN