Individual provider Active NPI

James Van Hulle, M.D.

  • Ophthalmology Physician
  • Akron, OH
National Provider Identifier
1881088029
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
81784 Issued in SC
Practice address
55 Arch St Ste 1B
Akron, OH 44304-1436
Phone
(330) 375-3315
Fax
(330) 375-7779
NPI assigned
Mar 25, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 81784 SC Primary

Addresses

Primary practice location

55 Arch St Ste 1B
Akron, OH 44304-1436

Mailing address

55 Arch St Ste 1B
Akron, OH 44304-1436
Phone (330) 375-3315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191025001809 SC Practitioner - Ophthalmology 8123332533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orangeburg Eye CenterGroup PAC ID 8628108370, 4 clinicians

Practice addresses (Care Compare)

1190 Summers Ave
Orangeburg, SC 29115-4922
Phone (803) 534-0266

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Orangeburg Eye Center Ophthalmology CurrentSince Aug 21, 2019 Accepting new patients
Orangeburg Opticians PastSince Aug 21, 2019 Accepting new patients

Locations

1190 Summers Ave
Orangeburg, SC 29115
Phone (803) 534-0266

Organizations & group practices 2

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1881088029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ARCH ST STE 1B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041436",
            "telephone_number": "330-375-3315",
            "fax_number": "330-375-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ARCH ST STE 1B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041436",
            "telephone_number": "330-375-3315",
            "fax_number": "330-375-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HULLE",
        "first_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "81784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.