Individual provider Active NPI

James Edward Ridge, O.D.

  • Optometrist
  • Marion, OH
National Provider Identifier
1811004690
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5526 Issued in OH
Practice address
1462 Marion Waldo Rd
Marion, OH 43302-7422
Phone
(740) 389-5418
Fax
(740) 389-5410
NPI assigned
Aug 25, 2006
Last updated
May 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5526 OH Primary
Optometrist 152W00000X 1268DT KY

Addresses

Primary practice location

1462 Marion Waldo Rd
Marion, OH 43302-7422

Mailing address

1462 Marion Waldo Rd
Marion, OH 43302-7422
Phone (740) 389-5418

Other identifiers 1

IdentifierTypeStateIssuer
2678777MedicaidOH

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
I20061005000384 OH Practitioner - Optometry 6305837030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Eye Care, Inc.Group PAC ID 6103850581, 11 clinicians

Practice addresses (Care Compare)

15840 Medical Dr S
Suite a
Findlay, OH 45840-7833
Phone (419) 422-6190

Merit-based Incentive Payment System (MIPS)

Final score
84.75 of 100Reported as group
Quality
97.58
Improvement activities
40
Cost
52.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1268DTKYMDOptometrist
5526OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Eye Care Inc Optometrist CurrentSince Aug 8, 2022 Accepting new patients
Spectrum Eye Care, Inc. Optometrist CurrentSince Aug 8, 2022 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

15840 Medical Dr S
Ste A
Findlay, OH 45840
Phone (419) 422-6190

2300 Baton Rouge
Lima, OH 45805
Phone (419) 422-6190

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-spectrum
  • Direct secure messaging: jridge@jterebuhmdinc.direct.eyemdemr.com

Organizations & group practices 3

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1811004690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 MARION WALDO RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027422",
            "telephone_number": "740-389-5418",
            "fax_number": "740-389-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 MARION WALDO RD",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433027422",
            "telephone_number": "740-389-5418",
            "fax_number": "740-389-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDGE",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5526",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1268DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2678777",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.