Provider Demographics
NPI:1548353550
Name:RAYMONDI, JAMES P (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:RAYMONDI
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 1:1981 E MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-3333
Mailing Address - Country:US
Mailing Address - Phone:330-966-8201
Mailing Address - Fax:330-966-8274
Practice Address - Street 1:1981 E MAPLE ST
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-3333
Practice Address - Country:US
Practice Address - Phone:330-966-8201
Practice Address - Fax:330-966-8274
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3960152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRA0669085Medicaid
OHT91561Medicare UPIN
OHRA0669085Medicaid