Individual provider Active NPI

James A Bierly, O.D.

  • Optometrist
  • Dayton, OH
National Provider Identifier
1609921550
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4267 Issued in OH
Practice address
5826 Wilmington Pike
Dayton, OH 45459-7004
Phone
(937) 428-9499
Fax
(937) 428-9419
NPI assigned
Jan 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4267 OH Primary

Addresses

Primary practice location

5826 Wilmington Pike
Dayton, OH 45459-7004

Mailing address

5826 Wilmington Pike
Dayton, OH 45459-7004
Phone (937) 428-9499

Other identifiers 1

IdentifierTypeStateIssuer
0944536MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040209000453 OH Practitioner - Optometry 8426942830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5826 Wilmington Pike
Centerville, OH 45459-7004

5828 Wilmington Pike
Centerville, OH 45459-7004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4267OHMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Just 4 Eyes LLC Optometrist CurrentSince Feb 1, 2002 Accepting new patients
Dr. Frank M. Davis & Associates, Inc. Optometrist Past Accepting new patients

Locations

5826 Wilmington Pike
Dayton, OH 45459
Phone (937) 428-9499

1400 N Barron St
Eaton, OH 45320
Phone (937) 456-9964

Organizations & group practices 2

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609921550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5826 WILMINGTON PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454597004",
            "telephone_number": "937-428-9499",
            "fax_number": "937-428-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5826 WILMINGTON PIKE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454597004",
            "telephone_number": "937-428-9499",
            "fax_number": "937-428-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERLY",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0944536",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.