Individual provider Active NPI

James P Jaros, O.D.

  • Optometrist
  • North Little Rock, AR
National Provider Identifier
1386705747
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2388 Issued in AR
Practice address
404 Main St
North Little Rock, AR 72114-5328
Phone
(501) 374-3335
Fax
(501) 374-3335
NPI assigned
Dec 12, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2388 AR Primary

Addresses

Primary practice location

404 Main St
North Little Rock, AR 72114-5328

Mailing address

404 Main St
North Little Rock, AR 72114-5328
Phone (501) 374-3335

Other identifiers 2

IdentifierTypeStateIssuer
119866722MedicaidAR
121588722MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20040621001555 AR Practitioner - Optometry 9537144803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 S Amity Rd
Suite a
Conway, AR 72032-8106
Phone (501) 727-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2388ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald F Boyles OD Optometrist PastSince Nov 6, 2018 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1386705747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MAIN ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145328",
            "telephone_number": "501-374-3335",
            "fax_number": "501-374-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MAIN ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721145328",
            "telephone_number": "501-374-3335",
            "fax_number": "501-374-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAROS",
        "first_name": "JAMES",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119866722",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121588722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.