Jessica Grimes, OD, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002132 Issued in VA

Legal business name

JESSICA GRIMES, OD, LLC

Practice address

798 Southpark Blvd
Suite 24
Colonial Heights, VA 23834-3615

Phone

(804) 524-0200

NPI assigned

Nov 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Ann Grimes, OD

Title

Optometrist

Phone

(804) 896-1622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Vision Care Doing business as

Interoperability endpoints

• FHIR API: https://masonfamilyvision.ef.prod.fhir.ema-api.com/fhir/r4/

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1003289042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 SOUTHPARK BLVD",
            "address_2": "SUITE 24",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 SOUTHPARK BLVD",
            "address_2": "SUITE 24",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343615",
            "telephone_number": "804-524-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA GRIMES, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "804-896-1622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609137611",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Slawomir Paul Jarzabek
• Jencare Neighborhood Medical South Park LLC
• Elizabeth M. Jenkins, M.D.
• Karen Heather Scarlett Jenkins, AGACNP
• Kelli Lynn Jennings, PHARMD
• Ji Managment LLC
• John Ji, D.M.D.
• Jiorthodontics LLC
• Brianna Johnson
• Elizabeth A Johnson, NP

• Optometrist in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.