James M Tickner, O.D., M.A.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001159 Issued in PA

Practice address

1315A Lake Ariel Hwy
Lake Ariel, PA 18436-9438

Phone

(570) 698-4140

Fax

(570) 698-4165

NPI assigned

May 1, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in PA

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Eye Care of Nepa PC 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Family Eye Care of Nepa PC

  • Optometrist
  • Honesdale, PA
  • NPI 1467546499
  Medicare reassignment Care Compare group NPD
• Family First Vision Center, Inc

  • Optometrist
  • Lake Ariel, PA
  • NPI 1043548456
  NPD Authorized official

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902864085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 LAKE ARIEL HWY",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311174",
            "telephone_number": "570-253-6551",
            "fax_number": "570-253-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315A LAKE ARIEL HWY",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184369438",
            "telephone_number": "570-698-4140",
            "fax_number": "570-698-4165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N Church St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "PA",
            "postal_code": "184071905",
            "country_code": "US",
            "telephone_number": "570-251-9657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1409 Route 739",
            "address_purpose": "LOCATION",
            "city": "Dingmans Ferry",
            "state": "PA",
            "postal_code": "183283478",
            "country_code": "US",
            "telephone_number": "570-257-9657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3319 Lake Ariel Hwy",
            "address_purpose": "LOCATION",
            "city": "Honesdale",
            "state": "PA",
            "postal_code": "184311174",
            "country_code": "US",
            "telephone_number": "570-251-9657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TICKNER",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D., M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-13",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER PIN NUMBER",
            "identifier": "82187",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUESHIELD PIN",
            "identifier": "1510066",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY PIN",
            "identifier": "817310",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lake Ariel, PA
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.