Individual provider Active NPI

James L. Price Jr., OD

  • Optometrist
  • Monticello, AR
National Provider Identifier
1598757148
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AR2158 Issued in AR
Practice address
408 W McCloy St
Monticello, AR 71655
Phone
(870) 367-8511
Fax
(870) 367-3215
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AR2158 AR Primary

Addresses

Primary practice location

408 W McCloy St
Monticello, AR 71655

Mailing address

408 W McCloy St
Monticello, AR 71655-4325
Phone (870) 367-8511

Other practice location 1

301 Highway 425 S
Monticello, AR 71655-4611
Phone (870) 367-8534

Other identifiers 1

IdentifierTypeStateIssuer
102131722MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AR2158ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ricky Ferguson Vision Center PA Optometrist CurrentSince Nov 3, 2019 Accepting new patients

Locations

408 W McCloy St
Monticello, AR 71655
Phone (870) 367-8511

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1598757148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W MCCLOY ST",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554325",
            "telephone_number": "870-367-8511",
            "fax_number": "870-367-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W MCCLOY ST",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "71655",
            "telephone_number": "870-367-8511",
            "fax_number": "870-367-3215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Highway 425 S",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "AR",
            "postal_code": "716554611",
            "country_code": "US",
            "telephone_number": "870-367-8534",
            "fax_number": "870-367-0264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JAMES",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "AR2158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102131722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.