Active NPI
James Ellsworth Homer, OCULARIST
- Ocularist
- Cedar Point, NC
National Provider Identifier
1639247968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- Practice address
- 1044 Cedar Point Blvd
Cedar Point, NC 28584-8019 - Phone
- (800) 579-6363
- Fax
- (252) 393-6930
- NPI assigned
- Dec 4, 2006
- Last updated
- Jul 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | ||
| Ocularist | 156FX1700X | NU | Primary |
Addresses
Primary practice location
1044 Cedar Point Blvd
Cedar Point, NC 28584-8019
Mailing address
159 Deepwater Dr
Stella, NC 28582-9741
Phone (800) 579-6363
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 048E0 | Other | NC | BLUE CROSS BLUE SHIELD OF NC |
| 260464169 | Other | NC | TRI-CARE |
| 7705142 | Medicaid | NC |
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Final Phase LLC | Ocularist | Past | Accepting new patients |
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, 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": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373414400000",
"number": "1639247968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 DEEPWATER DR",
"city": "STELLA",
"state": "NC",
"postal_code": "285829741",
"telephone_number": "800-579-6363",
"fax_number": "252-393-6930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 CEDAR POINT BLVD",
"city": "CEDAR POINT",
"state": "NC",
"postal_code": "285848019",
"telephone_number": "800-579-6363",
"fax_number": "252-393-6930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMER",
"first_name": "JAMES",
"middle_name": "ELLSWORTH",
"name_prefix": "Mr.",
"credential": "OCULARIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2013-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF NC",
"identifier": "048E0",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI-CARE",
"identifier": "260464169",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7705142",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.