Active NPI
Jason Price, OD
- Optometrist
- Wake Forest, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1936
- Practice address
- 110 Capcom Ave Ste 100
Wake Forest, NC 27587-6531 - Phone
- (919) 556-1909
- NPI assigned
- Aug 31, 2005
- Last updated
- Feb 25, 2022
- 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 | 1936 | NC | Primary |
Addresses
Primary practice location
110 Capcom Ave Ste 100
Wake Forest, NC 27587-6531
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89093P9 | Medicaid | NC | |
| 093P9 | Other | NC | BLUE CROSS BS |
| P00791294 | Other | NC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Pennsylvania College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Capcom Ave
Wake Forest, NC 27587-6531
Phone (919) 556-1909
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1936 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina | Optometrist | Past | Accepting new patients |
Locations
1975 High House Rd
Cary, NC 27519
Phone (919) 461-0771
2042 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 851-0093
1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332
7001 Fayetteville Rd
Ste 105
Durham, NC 27713
Phone (919) 861-9178
3101 Shannon Rd
Durham, NC 27707
Phone (919) 493-8508
1001 Widewaters Pkwy
Ste A
Knightdale, NC 27545
Phone (919) 863-2020
505 Retail Way
Ste 118
Louisburg, NC 27549
Phone (919) 496-1156
8231 Brier Creek Pkwy
Raleigh, NC 27617
Phone (919) 863-5032
14460 Falls of Neuse Rd
Ste 125
Raleigh, NC 27614
Phone (919) 847-4665
6566 Glenwood Ave
Raleigh, NC 27612
Phone (919) 783-0011
7020 Six Forks Rd
Raleigh, NC 27615
Phone (919) 847-5957
110 Capcom Ave
Wake Forest, NC 27587
Phone (847) 736-0586
12205 Capital Blvd
Wake Forest, NC 27587
Phone (919) 554-2020
110 Capcom Ave
Ste 100
Wake Forest, NC 27587
Phone (919) 554-3227
178 Wakelon St
Zebulon, NC 27597
Phone (919) 269-6032
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Interoperability endpoints
- jprice002490@myeyedr.emadirect.md
Organizations & group practices 4
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.
-
- Optometrist
- Monroe, NC
- NPI 1407737182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645747200000",
"number": "1821081282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CAPCOM AVE STE 100",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876531",
"telephone_number": "919-556-1909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "JASON",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2022-02-25",
"certification_date": "2022-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89093P9",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BS",
"identifier": "093P9",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00791294",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.