Active NPI
Dr. Dale Ladd PA
- Optometrist
- Batesville, AR
National Provider Identifier
1346377678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AR2425
- Legal business name
- DR. DALE LADD PA
- Practice address
- 1119 N Saint Louis
Batesville, AR 72501-9458 - Phone
- (870) 793-6857
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Dale Ladd, OD
- Title
- Optometrist
- Phone
- (870) 793-6857
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | AR2425 | AR | Primary |
Addresses
Primary practice location
1119 N Saint Louis
Batesville, AR 72501-9458
Mailing address
1119 N Saint Louis
Batesville, AR 72501-9458
Phone (870) 793-6857
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127707722 | Medicaid | AR | |
| 126161722 | Medicaid | AR | |
| 48815 | Other | AR | BLUECROSSBLUESHEILD |
Other names 1
- Town Plaza Optical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ladd Eye Center | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
1119 N Saint Louis
Batesville, AR 72501
Phone (870) 793-6857
Interoperability endpoints
- dladd@laddeyecenter.eyefinity-direct.com
- esmith@laddeyecenter.eyefinity-direct.com
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Batesville, AR
- NPI 1508910167
-
- Optometrist
- North Little Rock, AR
- NPI 1831505460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605139200000",
"number": "1346377678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 N SAINT LOUIS",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "725019458",
"telephone_number": "870-793-6857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 N SAINT LOUIS",
"city": "BATESVILLE",
"state": "AR",
"postal_code": "725019458",
"telephone_number": "870-793-6857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. DALE LADD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A",
"authorized_official_last_name": "LADD",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "870-793-6857",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AR",
"license": "AR2425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127707722",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126161722",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHEILD",
"identifier": "48815",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Town Plaza Optical",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Town Plaza Optical",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Batesville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.