Individual provider Active NPI

James Ronald Dallas, O.D.

  • Optometrist
  • Barstow, CA
National Provider Identifier
1215967658
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8448T Issued in CA
Practice address
1356 -- A East Main St.
Barstow, CA 92311-3220
Phone
(760) 256-8014
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8448T CA Primary

Addresses

Primary practice location

1356 -- A East Main St.
Barstow, CA 92311-3220

Mailing address

1356 -- A East Main St.
Barstow, CA 92311-3220
Phone (760) 256-8014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080123000507 CA Practitioner - Optometry 1456433986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1356 A E Main St
Barstow, CA 92311-3241

1356 E Main St
Suite a
Barstow, CA 92311-3241
Phone (760) 256-8014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8448TCAMDOptometrist
8448CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
James R. Dallas, O.D. Optometrist CurrentSince Sep 6, 2001 Accepting new patients

Locations

1356 E Main St
Ste A
Barstow, CA 92311
Phone (760) 250-8014

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215967658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 -- A EAST MAIN ST.",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113220",
            "telephone_number": "760-256-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 -- A EAST MAIN ST.",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113220",
            "telephone_number": "760-256-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "JAMES",
        "middle_name": "RONALD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8448T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

Verify at the official NPI Registry.