Active NPI
James T Rhoades, OD
- Optometrist
- Masontown, PA
National Provider Identifier
1770580623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0E005416-P
- Practice address
- 500 N Water St
Masontown, PA 15461-1778 - Phone
- (724) 583-8338
- Fax
- (724) 583-7037
- NPI assigned
- Jul 7, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0E005416-P | PA | Primary |
Addresses
Primary practice location
500 N Water St
Masontown, PA 15461-1778
Mailing address
500 N Water St
Masontown, PA 15461-1778
Phone (724) 583-8338
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1018508090001 | Medicaid | PA | |
| 016736 | Other | PA | MEDICARE PTAN |
| 1745 | Other | PA | DAVIS VISION |
| NVA390514 | Other | NATIONAL VISION ASSOC. | |
| 16736 | Other | PA | CLARITY VISION |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0E005416-P | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James T. Rhoades | Optometrist | 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 and National Provider Directory roles.
-
- Optometrist
- Masontown, PA
- NPI 1366628950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240531200000",
"number": "1770580623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N WATER ST",
"city": "MASONTOWN",
"state": "PA",
"postal_code": "154611778",
"telephone_number": "724-583-8338",
"fax_number": "724-583-7037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N WATER ST",
"city": "MASONTOWN",
"state": "PA",
"postal_code": "154611778",
"telephone_number": "724-583-8338",
"fax_number": "724-583-7037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOADES",
"first_name": "JAMES",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2009-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "0E005416-P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018508090001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "016736",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "1745",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL VISION ASSOC.",
"identifier": "NVA390514",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLARITY VISION",
"identifier": "16736",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Masontown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.