Jose Matias Arencibia, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001176 Issued in GA

Practice address

344 S Main St
Hiawassee, GA 30546

Phone

(706) 896-3303

Fax

(706) 896-9485

NPI assigned

Feb 14, 2006

Last updated

Aug 6, 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

Other names 1

• Joey M Arencibia Other name

Medicare fee-for-service enrollment

Enrolled in GA

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

Other, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Southeast Eye Group LLCGroup PAC ID 9234553462, 4 clinicians

Dalton Family Eyecare, Inc.Group PAC ID 2466476270, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jarencibia@gvc.intellechartdirect.net

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.

• Southeast Eye Group LLC

  • Optometrist
  • Blairsville, GA
  • NPI 1003456229
  Medicare reassignment Care Compare group NPD Authorized official
• Dalton Family Eyecare, Inc.

  • Optometrist
  • Cleveland, GA
  • NPI 1194946905
  Medicare reassignment Care Compare group NPD
• Georgia Vision Center

  • Optometrist
  • Hiawassee, GA
  • NPI 1982677357
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1841264249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 S MAIN ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "30546",
            "telephone_number": "706-896-3303",
            "fax_number": "706-896-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 S MAIN ST",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "30546",
            "telephone_number": "706-896-3303",
            "fax_number": "706-896-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENCIBIA",
        "first_name": "JOSE",
        "middle_name": "MATIAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000442043C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOEY",
            "last_name": "ARENCIBIA",
            "middle_name": "M",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa Kim Aiello, FNP-C, PMHNP-C
• Kayla Mashburn Akers
• Allergy & Asthma Clinic of Northeast Georgia
• Aloha Wellness Corporation
• James Anderson
• Riya Woodruff Bell, M.ED., CCC-SLP
• BJL, Inc. (Hiawassee Discount Pharmacy)
• Kevin Michael Blomfield, LCSW
• Brianna Paige Carr, LPN
• CDS Sales, Inc.

• Optometrist in Hiawassee, GA
• Providers in Hiawassee, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.