Active NPI
James A McDonel, O.D.
- Optometrist
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007141-1
- Practice address
- 1176 Main St
Buffalo, NY 14209-2102 - Phone
- (716) 881-7900
- Fax
- (716) 887-2990
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4214T78 | OH | |
| Optometrist | 152W00000X | TUV007141-1 | NY | Primary |
Addresses
Primary practice location
1176 Main St
Buffalo, NY 14209-2102
Mailing address
1176 Main St
Buffalo, NY 14209-2102
Phone (716) 881-7900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2220272 | Other | UNITED HEALTH CARE | |
| 0901224 | Medicaid | OH | |
| 000000006965 | Other | ANTHEM | |
| 02911700 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 Old Camp Rd
Suite 230
The Villages, FL 32162-1762
Phone (352) 350-8484
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4214 | OH | MD | Chiropractor |
| TUV007141-1 | NY | MD | Optometrist |
| 4214T78 | OH | MD | Optometrist |
| 007141 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NRV Eye Center, Inc | Current | Accepting new patients | |
| St . Lukes at the Villages, PA | Optometrist | Current | Accepting new patients |
| NK Optical, LLC | Past | Accepting new patients |
Locations
43309 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 938-2020
2955 Brownwood Blvd
Ste 303
The Villages, FL 32163
Phone (352) 350-8484
1050 Old Camp Rd
Ste 230
The Villages, FL 32162
Phone (352) 350-8484
106 S Franklin St
Ste C
Christiansburg, VA 24073
Phone (540) 381-2013
310 E Main St
Wytheville, VA 24382
Phone (276) 228-2771
Interoperability endpoints
- james.mcdonel.p3@direct.stlukeseye.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- james.mcdonelod.p1@direct.stlukeseye.nextgenshare.com
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.
-
- Ophthalmology Physician
- Christiansburg, VA
- NPI 1124198122
-
- Ophthalmology Physician
- Cheektowaga, NY
- NPI 1316065246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1629119797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1176 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142092102",
"telephone_number": "716-881-7900",
"fax_number": "716-887-2990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1176 MAIN ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142092102",
"telephone_number": "716-881-7900",
"fax_number": "716-887-2990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONEL",
"first_name": "JAMES",
"middle_name": "A",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4214T78",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007141-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2220272",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0901224",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000006965",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02911700",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.