Provider Demographics
NPI:1861464448
Name:CAPRIOTTI, JAMES ANDREW (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANDREW
Last Name:CAPRIOTTI
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 1:309 FLORENCE AVE
Mailing Address - Street 2:APT N630
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-2605
Mailing Address - Country:US
Mailing Address - Phone:215-887-0933
Mailing Address - Fax:
Practice Address - Street 1:309 FLORENCE AVE
Practice Address - Street 2:APT N630
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-2605
Practice Address - Country:US
Practice Address - Phone:215-887-0933
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001686152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAV07889Medicare UPIN