Individual provider Active NPI

Jason Paul Handler, M.D.

  • Ophthalmology Physician
  • Concord, NC
National Provider Identifier
1538293279
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
200900527 Issued in NC
Practice address
201 Lephillip Court, NE
Concord, NC 28025-2900
Phone
(704) 782-1127
Fax
(704) 782-1207
NPI assigned
Mar 15, 2007
Last updated
Oct 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X LL 27940 SC
Ophthalmology Physician 207W00000X 200900527 NC Primary

Addresses

Primary practice location

201 Lephillip Court, NE
Concord, NC 28025-2900

Mailing address

201 Lephillip Court, NE
Concord, NC 28025-2900
Phone (704) 782-1127

Other identifiers 2

IdentifierTypeStateIssuer
5912404OtherNCMEDICAID
153EPOtherNCBLUE CROSS BLUE SHIELD OF NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090527000164 NC Practitioner - Ophthalmology 3870642606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cabarrus Eye Center PAGroup PAC ID 5991735706, 11 clinicians

Practice addresses (Care Compare)

201 Le Phillip CT NE
Concord, NC 28025-2900
Phone (704) 782-1127

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200900527NCMDOphthalmology Physician
LL 27940SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cabarrus Eye Center PA Ophthalmology CurrentSince Apr 14, 2009 Accepting new patients
Eye Surgery and Laser Clinic, Inc. PastSince Apr 14, 2009 Accepting new patients
Cabarrus Eye Center, PA Past Accepting new patients

Locations

201 Le Phillip Ct NE
Concord, NC 28025
Phone (704) 782-1127

500 Lake Concord Rd NE
Concord, NC 28025
Phone (704) 782-1127

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, 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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1538293279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LEPHILLIP COURT, NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252900",
            "telephone_number": "704-782-1127",
            "fax_number": "704-782-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LEPHILLIP COURT, NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252900",
            "telephone_number": "704-782-1127",
            "fax_number": "704-782-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLER",
        "first_name": "JASON",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "LL 27940",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200900527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "5912404",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF NC",
            "identifier": "153EP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.