Provider Demographics
NPI:1831249267
Name:COX, JAMES A (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:COX
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 1:400 MILL AVE SE
Mailing Address - Street 2:SUITE C-1
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-3875
Mailing Address - Country:US
Mailing Address - Phone:330-339-7710
Mailing Address - Fax:
Practice Address - Street 1:400 MILL AVE SE
Practice Address - Street 2:SUITE C-1
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-3875
Practice Address - Country:US
Practice Address - Phone:330-339-7710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3065152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0329353Medicaid
CO0459387Medicare ID - Type Unspecified
PO0161936Medicare UPIN
OH0329353Medicaid