Organization Active NPI

Dr. Dale Ladd PA

  • Optometrist
  • Batesville, AR
National Provider Identifier
1346377678
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AR2425 Issued in AR
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

Updated by the provider on Nov 12, 2020

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
127707722MedicaidAR
126161722MedicaidAR
48815OtherARBLUECROSSBLUESHEILD

Other names 1

  • Town Plaza Optical Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20071026000174 AR Part B Supplier - Clinic/Group Practice 8325135163 Receives reassigned benefits from 2 practitioners
Practice locations: Batesville, AR
O20100930082287 AR DME Supplier - Physician - Optometrist 8325135163 Practice locations: Batesville, AR

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Ladd Eye Center1119 N Saint Louis, Batesville, AR 72501-9458(870) 793-6857 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory

Locations

1119 N Saint Louis
Batesville, AR 72501
Phone (870) 793-6857

Interoperability endpoints

  • Direct secure messaging: dladd@laddeyecenter.eyefinity-direct.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.