Individual provider Active NPI

James C. Bigham, O.D.

  • Optometrist
  • Evansville, IN
National Provider Identifier
1528053113
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003181A Issued in IN
Practice address
634 Cross Valley Cir
Evansville, IN 47710-5238
Phone
(812) 401-7777
Fax
(812) 429-0392
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003181A IN Primary

Addresses

Primary practice location

634 Cross Valley Cir
Evansville, IN 47710-5238

Mailing address

634 Cross Valley Cir
Evansville, IN 47710-5238
Phone (812) 401-7777

Other identifiers 8

IdentifierTypeStateIssuer
200394590AMedicaidIN
P00928487OtherINRAILROAD MEDICARE
000000244130OtherINANTHEM
22479OtherINNVA
6503910001OtherINDMERC
16096OtherINSPECTERA
7288496OtherINAETNA
BI1466240OtherINHIGHMARK CLARITY VISION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20060502000834 IN Practitioner - Optometry 3779562525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Oakland City Eyecare, LLCGroup PAC ID 1850301383, 5 clinicians
Northside Eyecare Associates, LLCGroup PAC ID 3678615259, 5 clinicians
South Gibson Eyecare Associates, LLCGroup PAC ID 2769657063, 5 clinicians

Practice addresses (Care Compare)

110 N Main St
Oakland City, IN 47660-1329

110 N Main St
Oakland City, IN 47660-1502
Phone (812) 749-3700

634 Cross Valley Cir
Evansville, IN 47710-5238
Phone (812) 401-7777

831 S 9TH Ave
Haubstadt, IN 47639-8244
Phone (812) 615-0277

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003181AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Gibson Eyecare Associates, LLC Optometrist CurrentSince Jan 4, 2012 Accepting new patients
Northside Eyecare Associates, LLC Optometrist CurrentSince Dec 30, 2009 Accepting new patients

Locations

634 Cross Valley Cir
Evansville, IN 47710
Phone (812) 401-7777

831 S 9th Ave
Haubstadt, IN 47639
Phone (812) 615-0277

Organizations & group practices 3

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1528053113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 CROSS VALLEY CIR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105238",
            "telephone_number": "812-401-7777",
            "fax_number": "812-429-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 CROSS VALLEY CIR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105238",
            "telephone_number": "812-401-7777",
            "fax_number": "812-429-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGHAM",
        "first_name": "JAMES",
        "middle_name": "C.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003181A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200394590A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00928487",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000244130",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "22479",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "6503910001",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "16096",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7288496",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK CLARITY VISION",
            "identifier": "BI1466240",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.