Individual provider Active NPI

Jeffrey Dale Rice, OD

  • Optometrist
  • Zanesville, OH
National Provider Identifier
1841220340
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3489T612 Issued in OH
Practice address
1180 Military Rd
Zanesville, OH 43701-1345
Phone
(740) 454-6283
Fax
(740) 454-6289
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3489T612 OH Primary

Addresses

Primary practice location

1180 Military Rd
Zanesville, OH 43701-1345

Mailing address

1180 Military Rd
Zanesville, OH 43701-1345
Phone (740) 454-6283

Other identifiers 3

IdentifierTypeStateIssuer
000000318176OtherOHBC/BS
0435158MedicaidOH
P00139136OtherRAILROAD

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
I20040304000648 OH Practitioner - Optometry 4385530575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Trillium Vision Care of Zanesville LLCGroup PAC ID 0345604161, 6 clinicians

Practice addresses (Care Compare)

1180 Military Rd
Zanesville, OH 43701-1345
Phone (740) 454-6283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2074OHMDChiropractor
3489T612OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Trillium Vision Care of Zanesville LLC Optometrist CurrentSince May 31, 2023 Accepting new patients

Locations

4051 Northpointe Dr
Bldg 7
Zanesville, OH 43701
Phone (740) 454-6283

1180 Military Rd
Zanesville, OH 43701
Phone (740) 454-6283

Interoperability endpoints

  • Direct secure messaging: jeffrey.rice@direct.revolutionehr.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1841220340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 MILITARY RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011345",
            "telephone_number": "740-454-6283",
            "fax_number": "740-454-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 MILITARY RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011345",
            "telephone_number": "740-454-6283",
            "fax_number": "740-454-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "JEFFREY",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3489T612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000318176",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435158",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00139136",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.