| Organization Name: | JAMES D. FERGUSON OD PC |
| NPI Number: | 1114101912 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBRA SMITH (BILLING MANAGER) |
| Mailing Address: | 1820 E Columbus Dr East Chicago |
| State: | IN US |
| Postal Code: | 463122826 |
| Phone Number: | 2193982020 |
| Fax Number: | 2913989808 |
| NPI Enumeration Date: | 12/28/2007 |
| NPI Last Update Date: | 10/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 18002583A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |