Individual provider Active NPI

Dale Ladd, PA

  • Optometrist
  • Batesville, AR
National Provider Identifier
1508910167
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AR2425 Issued in AR
Practice address
1119 N Saint Louis
Batesville, AR 72501-9458
Phone
(870) 793-6857
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 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
48815OtherARARKANSAS BLUE CROSSBLUE S
126161722MedicaidAR

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
I20110404000676 AR Practitioner - Optometry 4789771536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Dale Ladd PAGroup PAC ID 8325135163, 2 clinicians

Practice addresses (Care Compare)

1119 N Saint Louis
Batesville, AR 72501-9458
Phone (870) 793-6857

Merit-based Incentive Payment System (MIPS)

Final score
7.5 of 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Dale Ladd PA Optometrist CurrentSince Jan 1, 2002 Accepting new patients

Locations

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

Interoperability endpoints

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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1508910167",
    "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": {
        "last_name": "LADD",
        "first_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127707722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSSBLUE S",
            "identifier": "48815",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126161722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.