Provider Demographics
NPI:1801873302
Name:DRIGGARS, JAMES L (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:DRIGGARS
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:PO BOX 1307
Mailing Address - Street 2:
Mailing Address - City:CLANTON
Mailing Address - State:AL
Mailing Address - Zip Code:35046
Mailing Address - Country:US
Mailing Address - Phone:205-755-2296
Mailing Address - Fax:205-755-9378
Practice Address - Street 1:109 MEDICAL CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045
Practice Address - Country:US
Practice Address - Phone:205-755-2296
Practice Address - Fax:205-755-9378
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS337TA029152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
19780OtherSPECTERA
AL000059435Medicaid
630741374OtherVSP
870000837OtherRAILROAD MEDICARE
870000837OtherRAILROAD MEDICARE
0691480001Medicare NSC
630741374OtherVSP
T69183Medicare UPIN