Individual provider Active NPI

John M Price, O.D.

  • Optometrist
  • Wapakoneta, OH
National Provider Identifier
1841393709
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5062 T1939 Issued in OH
Practice address
1201 Defiance St
Suite a
Wapakoneta, OH 45895-1059
Phone
(419) 738-2715
Fax
(419) 738-2815
NPI assigned
Sep 6, 2006
Last updated
Jan 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5062 T1939 OH Primary

Addresses

Primary practice location

1201 Defiance St
Suite a
Wapakoneta, OH 45895-1059

Mailing address

140 W Spring St
Saint Marys, OH 45885-2312
Phone (419) 394-2397

Other identifiers 1

IdentifierTypeStateIssuer
2128978MedicaidOH

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
I20040914000150 OH Practitioner - Optometry 4183697923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auglaize Family Eye Care IncGroup PAC ID 8325192966, 2 clinicians

Practice addresses (Care Compare)

1201 Defiance St
Wapakoneta, OH 45895-1086
Phone (419) 738-2715

140 W Spring St
Saint Marys, OH 45885-2312
Phone (419) 394-2397

Merit-based Incentive Payment System (MIPS)

Final score
79 of 100Reported as individual
Quality
54.6
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.06 of 100Reported as group
Quality
66.12
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5062 T1939OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Auglaize Family Eye Care Inc Optometrist CurrentSince May 4, 2009 Accepting new patients
John M. Price OD, Inc. Optometrist CurrentSince Jul 7, 2004 Accepting new patients
John T Archer & Assoc Inc Optometrist Past Accepting new patients
Primary Eyecare Associates Inc Optometrist Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
John M. Price OD, Inc. Optometrist Past Accepting new patients

Locations

315 E Columbus Ave
Bellefontaine, OH 43311
Phone (937) 592-9777

140 W Spring St
Saint Marys, OH 45885
Phone (419) 394-2397

1201 Defiance St
Ste A
Wapakoneta, OH 45895
Phone (419) 738-2715

Interoperability endpoints

  • Direct secure messaging: john.price@direct.revolutionehr.com

Organizations & group practices 6

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1841393709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W SPRING ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852312",
            "telephone_number": "419-394-2397",
            "fax_number": "419-932-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 DEFIANCE ST",
            "address_2": "SUITE A",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458951059",
            "telephone_number": "419-738-2715",
            "fax_number": "419-738-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5062 T1939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128978",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

Verify at the official NPI Registry.