Provider Demographics
NPI:1831170877
Name:REECE, JAMES M JR (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:REECE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3939 J ST
Mailing Address - Street 2:STE 280
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3636
Mailing Address - Country:US
Mailing Address - Phone:916-454-4208
Mailing Address - Fax:
Practice Address - Street 1:3939 J ST
Practice Address - Street 2:STE 280
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3636
Practice Address - Country:US
Practice Address - Phone:916-454-4208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2016-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG447860207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G447860Medicaid
CA00G447860Medicaid
A49752Medicare UPIN