Individual provider Active NPI

James R Patterson, OPTOMETRY

  • Optometrist
  • Ashland, OH
National Provider Identifier
1699753178
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3562 Issued in OH
Practice address
2212 Mifflin Ave Suite 110
Ashland, OH 44805-3443
Phone
(419) 289-0808
Fax
(419) 281-1200
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3562 OH Primary

Addresses

Primary practice location

2212 Mifflin Ave Suite 110
Ashland, OH 44805-3443

Mailing address

2212 Mifflin Ave Suite 110
Ashland, OH 44805-3443
Phone (419) 289-0808

Other identifiers 1

IdentifierTypeStateIssuer
0468855MedicaidOH

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
I20100626000089 OH Practitioner - Optometry 8426081126 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Eyecare Inc Optometrist CurrentSince Oct 1, 1993 Accepting new patients

Locations

1027 E Main St
Ashland, OH 44805
Phone (419) 289-0808

2212 Mifflin Ave
Ste 110
Ashland, OH 44805
Phone (419) 289-0808

645 Wooster St
Ste 2
Lodi, OH 44254
Phone (330) 948-2246

Interoperability endpoints

  • Direct secure messaging: jimp@ashlandeyecareinc.eyefinity-direct.com

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1699753178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 MIFFLIN AVE SUITE 110",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053443",
            "telephone_number": "419-289-0808",
            "fax_number": "419-281-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 MIFFLIN AVE SUITE 110",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053443",
            "telephone_number": "419-289-0808",
            "fax_number": "419-281-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "OPTOMETRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0468855",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.