James C Staup III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-783-TA-295 Issued in AL

Practice address

6838 Highway 431 S
Suite a
Owens Cross Roads, AL 35763-7200

Phone

(256) 534-3900

Fax

(256) 534-6994

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South East EyecareGroup PAC ID 8729161229, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South East Eyecare

  • Optometrist
  • Owens Cross Roads, AL
  • NPI 1861573198
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1225067697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 HIGHWAY 431 S",
            "address_2": "SUITE A",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357637200",
            "telephone_number": "256-534-3900",
            "fax_number": "256-534-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6838 HIGHWAY 431 S",
            "address_2": "SUITE A",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357637200",
            "telephone_number": "256-534-3900",
            "fax_number": "256-534-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUP",
        "first_name": "JAMES",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-783-TA-295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058571",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "DN3541",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Hampton Nursing and Rehabilitation Center, LLC
• Thomas Edward Spell III, DPT
• Star Optometry Al, LLC
• Haley Shockley Stasica, CRNP
• Dewanna K Staup, O.D.
• Hannah Stevens, SLP
• Super Kids Urgent Care, PLLC
• Lindsay Gunter Taylor, LMFT
• Tennessee Valley Speech and Language LLC
• Courtney Renee Thornton, LPTA

• Optometrist in Owens Cross Roads, AL
• Providers in Owens Cross Roads, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.