Individual provider Active NPI

James Troy Bailey, OD

  • Optometrist
  • Enterprise, OR
National Provider Identifier
1245256445
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2557T Issued in OR
Practice address
519 W North Street
Enterprise, OR 97828
Phone
(541) 426-3413
Fax
(541) 426-4489
NPI assigned
Jul 14, 2006
Last updated
Feb 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2557T OR Primary

Addresses

Primary practice location

519 W North Street
Enterprise, OR 97828

Mailing address

519 W North Street
Enterprise, OR 97828
Phone (541) 426-3413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20040405001434 OR Practitioner - Optometry 6103819263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

519 W N St
Enterprise, OR 97828-1044
Phone (541) 426-3413

Merit-based Incentive Payment System (MIPS)

Final score
86.03 of 100Reported as group
Quality
72.07
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2557TORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wallowa Valley Eye Care, Inc. Optometrist CurrentSince Jan 19, 2011 Accepting new patients

Locations

519 W North St
Enterprise, OR 97828
Phone (541) 426-3413

519 W North St
#C
Enterprise, OR 97828
Phone (541) 426-3413

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1245256445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 W NORTH STREET",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "97828",
            "telephone_number": "541-426-3413",
            "fax_number": "541-426-4489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 W NORTH STREET",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "97828",
            "telephone_number": "541-426-3413",
            "fax_number": "541-426-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JAMES",
        "middle_name": "TROY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2557T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, OR

Sources for this page

Verify at the official NPI Registry.