Active NPI
James Grove & Associates, LLC
- Optometrist
- Springfield, OH
National Provider Identifier
1346419629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5180
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| JA9370031 | Other | OH | MEDICARE GROUP NUMBER |
| 2767528 | Medicaid | OH |
Other names 1
- ASSOCIATES IN OPTOMETRY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.