Provider Demographics
NPI:1477529527
Name:LAW, JAMES A (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:LAW
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 969
Mailing Address - Street 2:797 WOODLAND DR. SUITE 101
Mailing Address - City:STUART
Mailing Address - State:VA
Mailing Address - Zip Code:24171-0969
Mailing Address - Country:US
Mailing Address - Phone:276-694-7126
Mailing Address - Fax:276-694-7449
Practice Address - Street 1:797 WOODLAND DR.
Practice Address - Street 2:SUITE 101
Practice Address - City:STUART
Practice Address - State:VA
Practice Address - Zip Code:24171
Practice Address - Country:US
Practice Address - Phone:276-694-7126
Practice Address - Fax:276-694-7449
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0601000624152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5902643Medicaid
VA009230602Medicaid
NC5902643Medicaid
VA009230602Medicaid
VA410001210Medicare PIN
VAC06690Medicare PIN