Provider Demographics
NPI:1295733426
Name:POPE, JAMES S (OD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:S
Last Name:POPE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1040 RANDOLPH ST
Mailing Address - Street 2:SUITE 32
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360-6383
Mailing Address - Country:US
Mailing Address - Phone:336-475-0143
Mailing Address - Fax:336-472-6831
Practice Address - Street 1:1033 RANDOLPH ST STE 4
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-5731
Practice Address - Country:US
Practice Address - Phone:336-475-0151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1023152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC037737001OtherPALMETTO-DMERC-MEDICARE
NC09720OtherBCBS
NC5913114Medicaid
NC09720OtherBCBS
T64888Medicare UPIN