Active NPI
David Gary James, O.D.
- Optometrist
- Oregon, WI
National Provider Identifier
1780667204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1673-035
- Practice address
- 185 W Netherwood Rd
Oregon, WI 53575-1100 - Phone
- (608) 835-3579
- NPI assigned
- Nov 29, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1673-035 | WI | Primary |
Addresses
Primary practice location
185 W Netherwood Rd
Oregon, WI 53575-1100
Mailing address
17727 W Dreamview CT
Brooklyn, WI 53521-9662
Phone (608) 455-1005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38508900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
185 W Netherwood St
Oregon, WI 53575-1100
Phone (608) 835-3579
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1673-035 | WI | MD | Optometrist |
| 1673 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Side Eye Care, S.C. | Optometrist | Current | Accepting new patients |
| Bright Side Eye Care, S.C. | Optometrist | Current | Accepting new patients |
Locations
1532 W Broadway
Ste 103
Monona, WI 53713
Phone (608) 223-0202
185 W Netherwood St
Oregon, WI 53575
Phone (608) 835-3579
Interoperability endpoints
- anna.rogers@direct.revolutionehr.com
Organizations & group practices 2
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
- Monona, WI
- NPI 1609937333
-
- Optometrist
- Oregon, WI
- NPI 1013007475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1780667204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17727 W DREAMVIEW CT",
"city": "BROOKLYN",
"state": "WI",
"postal_code": "535219662",
"telephone_number": "608-455-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 W NETHERWOOD RD",
"city": "OREGON",
"state": "WI",
"postal_code": "535751100",
"telephone_number": "608-835-3579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "DAVID",
"middle_name": "GARY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "1673-035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38508900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oregon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.