Provider Demographics
NPI:1548313174
Name:VOLPONI, JAMES EDWARD (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:VOLPONI
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 1:254 S LIVERMORE AVE
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4652
Mailing Address - Country:US
Mailing Address - Phone:925-447-3222
Mailing Address - Fax:925-447-3288
Practice Address - Street 1:254 S LIVERMORE AVE
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4652
Practice Address - Country:US
Practice Address - Phone:925-447-3222
Practice Address - Fax:925-447-3288
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8044T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA943036172OtherVISION SERVICE PLAN
CA116423OtherEYEMED
CA2671OtherMEDICAL EYE SERVICES
CA8044TMedicare PIN
CA2671OtherMEDICAL EYE SERVICES