James Denis Menard, O.D.
Individual provider Active NPI Optometrist · Irvington, AL
NPI 1679666176 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1679666176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- R-276-TA-B68 (AL)
- Practice address
- 12701 Padgett Switch Rd
Irvington, AL 36544-4011 - Phone
- (251) 824-2174
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bayou la Batre Area Health Development Board, Inc.
Practice addresses (Care Compare)
12701 Padgett Switch Rd
Irvington, AL 36544-4011
Phone 25182421745412
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200401000289 | AL | Practitioner - Optometry | 8820427644 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-276-TA-B68 | AL | MD | Optometrist |
| 0731 | NH | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayou la Batre Area Health Development Board, Inc. | Current |
Accepting new patients | |
| Bayou la Batre Area Health Development Board, Inc. | Current |
Accepting new patients |
Locations
12701 Padgett Switch Rd
Bldg 1
Irvington, AL 36544
12701 Padgett Switch Rd
Irvington, AL 36544
Phone (251) 824-2174
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CIEDDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0731 | NH | |
| Optometrist | 152W00000X | R-276-TA-B68 | AL | Yes |
Addresses
Primary practice location
12701 Padgett Switch Rd
Irvington, AL 36544-4011
Mailing address
6500 Audubon SQ N
Mobile, AL 36695-6231
Phone (693) 486-4926
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258733 | Medicaid | AL | |
| 512-37025 | Other | AL | BCBS |
Other providers in Irvington, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.