Provider Demographics
NPI:1942250022
Name:NOBLES, JAMES ROBERT JR (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ROBERT
Last Name:NOBLES
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:3368 HIGHWAY 280
Mailing Address - Street 2:
Mailing Address - City:ALEX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010-3393
Mailing Address - Country:US
Mailing Address - Phone:256-329-9064
Mailing Address - Fax:256-329-0262
Practice Address - Street 1:3368 HIGHWAY 280
Practice Address - Street 2:
Practice Address - City:ALEX CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-3393
Practice Address - Country:US
Practice Address - Phone:256-329-9064
Practice Address - Fax:256-329-0262
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-615-TA-099152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALS-615-TA099OtherSTATE LICENCE #
ALT69014Medicare UPIN