Provider Demographics
NPI:1871570580
Name:MCGUINNESS, JAMES C (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:MCGUINNESS
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 1:837 SOUTH CLEARVIEW PARKWAY
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:LA
Mailing Address - Zip Code:70121
Mailing Address - Country:US
Mailing Address - Phone:504-733-0406
Mailing Address - Fax:504-733-0801
Practice Address - Street 1:837 SOUTH CLEARVIEW PARKWAY
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:LA
Practice Address - Zip Code:70121
Practice Address - Country:US
Practice Address - Phone:504-733-0406
Practice Address - Fax:504-733-0801
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1079242T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA410026332OtherMEDICARE RAILROAD
LA2506BOtherBLUE CROSS BLUE SHIELD
LA84080OtherCOVENTRY
U12603Medicare UPIN
LA49681Medicare PIN
LA0936150001Medicare NSC