Individual provider Active NPI

Jason Price, OD

  • Optometrist
  • Wake Forest, NC
National Provider Identifier
1821081282
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1936 Issued in NC
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
89093P9MedicaidNC
093P9OtherNCBLUE CROSS BS
P00791294OtherNCRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000700 NC Practitioner - Optometry 2163336793 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1936NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Dec 1, 2014 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Dec 1, 2014 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.