Richard Harris Billman II, OD
Individual provider Active NPI Optometrist · Jackson, OH
NPI 1174522981 · NPPES record last updated Jan 9, 2013
Key facts
- NPI
- 1174522981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3395 (OH)
- Practice address
- 201 Columbia St
Jackson, OH 45640-0831 - Phone
- (740) 286-1419
- Fax
- (740) 286-5546
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
201 Columbia St
Jackson, OH 45640-0831
201 Columbia St
Jackson, OH 45640-1771
Phone (740) 286-1419
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080418000353 | OH | Practitioner - Optometry | 3476440710 | Practice locations: Jackson, OH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3395 | OH | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3395 | OH | Yes |
Addresses
Primary practice location
201 Columbia St
Jackson, OH 45640-0831
Mailing address
PO 831
201 Columbia Street
Jackson, OH 45640-0831
Phone (740) 286-1419
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000117713 | Other | OH | ANTHEM INS. CO. |
| 310965435026 | Medicaid | OH |
Other providers in Jackson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.