Individual provider Active NPI

Jodi Grimm Price, O.D.

  • Optometrist
  • Chillicothe, OH
National Provider Identifier
1316935562
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH3564 Issued in OH
Practice address
77 W Main St
Chillicothe, OH 45601-3104
Phone
(740) 773-8055
Fax
(740) 773-8057
NPI assigned
Oct 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OH3564 OH Primary

Addresses

Primary practice location

77 W Main St
Chillicothe, OH 45601-3104

Mailing address

77 W Main St
Chillicothe, OH 45601-3104
Phone (740) 773-8055

Other identifiers 1

IdentifierTypeStateIssuer
0792487MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080115000840 OH Practitioner - Optometry 2567369531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

135 W 6TH Ave
Lancaster, OH 43130-2506
Phone (740) 654-4762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH3564OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Mar 17, 2025 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Mar 17, 2025 Accepting new patients
Price Family Eyecare Professionals, LLC Optometrist CurrentSince Apr 15, 2018 Accepting new patients

Locations

77 W Main St
Chillicothe, OH 45601
Phone (740) 773-8055

135 W 6th Ave
Lancaster, OH 43130
Phone (740) 654-4762

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

Organizations & group practices 3

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1316935562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W MAIN ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013104",
            "telephone_number": "740-773-8055",
            "fax_number": "740-773-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W MAIN ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013104",
            "telephone_number": "740-773-8055",
            "fax_number": "740-773-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JODI",
        "middle_name": "GRIMM",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH3564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0792487",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.