Individual provider Active NPI

Jason S Bailey, OD

  • Optometrist
  • Gilbert, AZ
National Provider Identifier
1295737625
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1741 Issued in AZ
Practice address
2894 Waterman CT
Gilbert, AZ 85297-7610
Phone
(480) 532-2017
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1322 SC
Optometrist 152W00000X 1741 AZ Primary

Addresses

Primary practice location

2894 Waterman CT
Gilbert, AZ 85297-7610

Mailing address

2894 Waterman CT
Gilbert, AZ 85297-7610
Phone (480) 532-2017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20111111000201 AZ Practitioner - Optometry 2668448150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2750 E Germann Rd
Chandler, AZ 85286-1403
Phone (480) 812-2948

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1741AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Eyecare PC Optometrist CurrentSince Oct 1, 2011 Accepting new patients
Dr. Jason S. Bailey P.C. Optometrist PastSince Sep 7, 2004 Accepting new patients

Locations

2750 E Germann Rd
Chandler, AZ 85286
Phone (480) 812-2942

Organizations & group practices 2

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1295737625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2894 WATERMAN CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977610",
            "telephone_number": "480-532-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2894 WATERMAN CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977610",
            "telephone_number": "480-532-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JASON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1322",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.