James Melvin Hudson
Ophthalmologist
1310 Dadrian Professional Park
Godfrey
, Illinois 62035-1685
James Melvin Hudson
Ophthalmologist
1310 Dadrian Professional Park
Godfrey
, Illinois 62035-1685
(618) 467-1053
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- James Melvin Hudson
- 1310 Dadrian Professional Park
- Godfrey, IL
- Zip : 62035-1685
- Fax : (618) 467-1053
- Phone : (618) 433-5005
Second Address
- James Melvin Hudson
- 1310 Dadrian Professional Park
- Godfrey, IL
- Zip : 62035-1685
- Fax : (618) 467-1053
- Phone : (618) 433-5005
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | 036058812 | IL |
National Provider Identifier
| NPI | 1013994144 |
|---|---|
| Provider Name | James Melvin Hudson |
| First Address | Godfrey, IL 62035-1685 |
| Second Address | Godfrey, IL 62035-1685 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2005 |
| Last Update Date | 04/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036058812 | (05) | IL |
| D14167 | (02) | IL |
| P00069175 | MEDICARE RR (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.