Jeffery Jay Pass, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002083B Issued in IN

Practice address

2200 Elmwood Ave
Ste D-4
Lafayette, IN 47904-2347

Phone

(765) 446-2814

Fax

(765) 447-2870

NPI assigned

Nov 17, 2005

Last updated

Jan 24, 2016By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evans Eye Care IncGroup PAC ID 9830169234, 33 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evans Eye Care Inc

  dba Evans & Taylor Eye Care Group

  • Optometrist
  • Lafayette, IN
  • NPI 1992784599
  Medicare reassignment Care Compare group NPD
• Neo Vision PC

  • Eyewear Supplier
  • Lafayette, IN
  • NPI 1932176476
  Medicare reassignment

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453593600000",
    "number": "1265414064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ELMWOOD AVE",
            "address_2": "STE D-4",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042347",
            "telephone_number": "765-446-2814",
            "fax_number": "765-447-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ELMWOOD AVE",
            "address_2": "STE D-4",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042347",
            "telephone_number": "765-446-2814",
            "fax_number": "765-447-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASS",
        "first_name": "JEFFERY",
        "middle_name": "JAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2016-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002083B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100720",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parkside Pharmacy Inc
• Sally A Parman, R.N
• Chloe Parsons, RBT
• Jana M Parsons, PMHNP
• Roshini Durga Paruchuri, DDS
• Jason M. Passafiume, M.D.
• Alicia Pate, PA
• Anand Patel, MD
• Chirag B Patel, MD
• Falguniben Arvindbhai Patel, MD

• Optometrist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2016; 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.