Individual provider Active NPI

James Kenneth Chance, MD

  • Ophthalmology Physician
  • New Bern, NC
National Provider Identifier
1992719009
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20886 Issued in NC
Practice address
802 McCarthy Blvd
New Bern, NC 28562-5236
Phone
(252) 633-4183
Fax
(252) 636-1674
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 20886 NC Primary

Addresses

Primary practice location

802 McCarthy Blvd
New Bern, NC 28562-5236

Mailing address

802 McCarthy Blvd
New Bern, NC 28562-5236
Phone (252) 633-4183

Other identifiers 2

IdentifierTypeStateIssuer
21975OtherNCBCBS
8921975MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000208 NC Practitioner - Ophthalmology 7416917687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
87.16
Improvement activities
40
Cost
71.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20886NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Clinic, PA Ophthalmology CurrentSince Feb 6, 1996 Accepting new patients
Coastal Eye Clinic PA Ophthalmology CurrentSince Feb 6, 1996 Accepting new patients
Coastal Eye Clinic, PA Ophthalmology Current Accepting new patients

Locations

3504 Bridges St
Morehead City, NC 28557
Phone (252) 240-3077

802 McCarthy Blvd
New Bern, NC 28562
Phone (252) 633-4183

Organizations & group practices 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992719009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625236",
            "telephone_number": "252-633-4183",
            "fax_number": "252-636-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MCCARTHY BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625236",
            "telephone_number": "252-633-4183",
            "fax_number": "252-636-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "JAMES",
        "middle_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "20886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21975",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8921975",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.