Individual provider Active NPI

Jason K Bates, OD

  • Optometrist
  • Ashland, OR
National Provider Identifier
1407891401
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3136AT Issued in OR
Practice address
215 4TH St
Ashland, OR 97520-2043
Phone
(541) 708-5350
NPI assigned
Jun 17, 2006
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3136AT OR Primary

Addresses

Primary practice location

215 4TH St
Ashland, OR 97520-2043

Mailing address

215 4TH St
Ashland, OR 97520-2043
Phone (541) 708-5350

Other identifiers 1

IdentifierTypeStateIssuer
213444MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20060214000084 OR Practitioner - Optometry 5991710980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Accent Inc.Group PAC ID 0648430025, 5 clinicians

Practice addresses (Care Compare)

215 4TH St
Ashland, OR 97520-2043
Phone (541) 708-5350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Accent Inc. Optometrist CurrentSince Dec 28, 2023 Accepting new patients
Eye Care Group of Southern Oregon, LLC Optometrist CurrentSince Dec 28, 2023 Accepting new patients
Vision Accent Inc. Optometrist Current Accepting new patients
Eye Care Group of Southern Oregon, LLC Optometrist CurrentSince Dec 28, 2023 Accepting new patients
Jason Bates OD PC Optometrist CurrentSince Feb 13, 2006 Accepting new patients
Artisan Eye Works LLC Optometrist PastSince Dec 28, 2023 Accepting new patients
Shajida Espat Reich & Associates PC Optometrist Past Accepting new patients

Locations

215 4th St
Ashland, OR 97520
Phone (541) 708-5350

335 Caves Hwy
Cave Junction, OR 97523
Phone (503) 592-3921

1022 NW 6th St
Grants Pass, OR 97526
Phone (541) 476-4545

3600 Washburn Way
Klamath Falls, OR 97603
Phone (541) 885-5405

1600 N Riverside Ave
Unit 2027
Medford, OR 97501
Phone (541) 779-9851

Organizations & group practices 7

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1407891401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 4TH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202043",
            "telephone_number": "541-708-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 4TH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202043",
            "telephone_number": "541-708-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "JASON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3136AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213444",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.