Individual provider Active NPI

Janice Marie MC George, O.D.

  • Optometrist
  • Jackson, CA
National Provider Identifier
1992754246
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12642T Issued in CA
Practice address
817 Court St Ste 10
Jackson, CA 95642-2156
Phone
(209) 223-2020
NPI assigned
May 6, 2006
Last updated
Aug 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12642T CA Primary

Addresses

Primary practice location

817 Court St Ste 10
Jackson, CA 95642-2156

Mailing address

817 Court St Ste 10
Jackson, CA 95642-2156
Phone (209) 223-2020

Other identifiers 1

IdentifierTypeStateIssuer
SD0126421MedicaidCA

Other names 1

  • Janice Marie Price Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050405001436 CA Practitioner - Optometry 3971550542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Eyecare AssociatesGroup PAC ID 2860449436, shared by 2 NPIs, 3 clinicians

Practice addresses (Care Compare)

4 Jean St
Suite 1
Valley SPGS, CA 95252-8867
Phone (209) 772-9798

817 Court St
Suite 10
Jackson, CA 95642-2156

Merit-based Incentive Payment System (MIPS)

Final score
7.5 of 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12642CAMDMental Health Counselor
12642TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Eyecare Associates Optometrist CurrentSince Jul 2, 2007 Accepting new patients
Sierra Eyecare Associates Optometrist CurrentSince Jul 2, 2007 Accepting new patients

Locations

817 Court St
Ste 10
Jackson, CA 95642
Phone (209) 223-2020

4 Jean St
Ste 1
Valley Springs, CA 95252
Phone (209) 772-9798

Interoperability endpoints

  • Direct secure messaging: jmcgeorge@direct.revolutionehr.com

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, 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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1992754246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COURT ST STE 10",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422156",
            "telephone_number": "209-223-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COURT ST STE 10",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956422156",
            "telephone_number": "209-223-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC GEORGE",
        "first_name": "JANICE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12642T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0126421",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "PRICE",
            "middle_name": "MARIE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, CA

Sources for this page

Verify at the official NPI Registry.