Organization Active NPI

James Grove & Associates, LLC

  • Optometrist
  • Springfield, OH
National Provider Identifier
1346419629
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5180 Issued in OH
Legal business name
JAMES GROVE & ASSOCIATES, LLC
Doing business as
ASSOCIATES IN OPTOMETRY
Practice address
4907 Security Dr
Springfield, OH 45503-5651
Phone
(937) 399-3223
Fax
(937) 399-3225
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. James D Grove, O.D.
Title
Member
Phone
(937) 399-3223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5180 OH Primary

Addresses

Primary practice location

4907 Security Dr
Springfield, OH 45503-5651

Mailing address

4907 Security Dr
Springfield, OH 45503-5651
Phone (937) 399-3223

Other identifiers 2

IdentifierTypeStateIssuer
JA9370031OtherOHMEDICARE GROUP NUMBER
2767528MedicaidOH

Other names 1

  • ASSOCIATES IN OPTOMETRY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070822000679 OH Part B Supplier - Clinic/Group Practice 0648362616 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Urbana, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4907 Security Dr
Springfield, OH 45503
Phone (513) 399-3223

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1346419629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 SECURITY DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455035651",
            "telephone_number": "937-399-3223",
            "fax_number": "937-399-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 SECURITY DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455035651",
            "telephone_number": "937-399-3223",
            "fax_number": "937-399-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES GROVE & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "937-399-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "JA9370031",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2767528",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASSOCIATES IN OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.