Jason D Sibble, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT006401 Issued in NY

Practice address

12 Martin St
Wellsville, NY 14895-1057

Phone

(585) 593-6041

Fax

(585) 593-4919

NPI assigned

Jun 20, 2006

Last updated

Sep 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kenneth G Vandine MDPCGroup PAC ID 5698865996, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.73 of 100Reported as group

Quality

87.75

Improvement activities

40

Cost

29.72

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jasonsibbleod@alleganyeye.medentdirect.com

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.

• Kenneth G Vandine MDPC

  • Ophthalmology Physician
  • Wellsville, NY
  • NPI 1881783819
  Medicare reassignment Care Compare group NPD
• Allegany Ophthalmology PLLC

  dba Council Optometric Center

  • Optometrist
  • Olean, NY
  • NPI 1760736946
  Medicare reassignment NPD
• Allegany Ophthalmology PLLC

  dba Chautauqua Eyecare

  • Optometrist
  • Jamestown, NY
  • NPI 1730714742
  NPD
• Allan M Robbins

  dba Robbins Eye Associates

  • Ophthalmology Physician
  • Webster, NY
  • NPI 1851335608
  NPD (past)
• Allegany Associates LLC

  • Ambulatory Surgical Clinic/Center
  • Olean, NY
  • NPI 1528832607
  NPD (past)
• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  NPD (past)
• Warsaw Opticians, Inc .

  • Optician
  • Warsaw, NY
  • NPI 1619037256
  NPD (past)
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1841235975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MARTIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951057",
            "telephone_number": "585-593-6041",
            "fax_number": "585-593-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MARTIN ST",
            "city": "WELLSVILLE",
            "state": "NY",
            "postal_code": "148951057",
            "telephone_number": "585-593-6041",
            "fax_number": "585-593-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBBLE",
        "first_name": "JASON",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT006401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF CARE, PREF GOLD",
            "identifier": "115176CS",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Sexton, LPN
• Nishit P Shah, M.D,
• Elizabeth M Shea
• Tosha Lee Sheridan
• Daniel Shutt
• Siraj U Siddiqui, M.D.
• Brianna Simms
• Elizabeth Marie Sinski, M.A. CCC-SLP
• Miranda M Smith
• Terry J Smith, LMFT

• Optometrist in Wellsville, NY
• Providers in Wellsville, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.

Verify at the official NPI Registry.