Jasmine Shalisa Deloach, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1097 Issued in MS

Practice address

1823 5TH St N
Columbus, MS 39705-2203

Phone

(662) 328-5225

NPI assigned

Jul 25, 2024

Last updated

Jul 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

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

University Alabama Birmingham - School of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbus Vision Group, PLLCGroup PAC ID 6204187909, 4 clinicians

Curtis Optometry Group PLLCGroup PAC ID 8123395472, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbus Vision Group, PLLC

  • Optometrist
  • Columbus, MS
  • NPI 1851872451
  Medicare reassignment Care Compare group NPD
• Curtis Optometry Group PLLC

  • Optometrist
  • Columbus, MS
  • NPI 1720511264
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1043048572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9028 HWY 45 SOUTH ALTERNATE",
            "city": "CRAWFORD",
            "state": "MS",
            "postal_code": "39743",
            "telephone_number": "662-328-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052203",
            "telephone_number": "662-328-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOACH",
        "first_name": "JASMINE",
        "middle_name": "SHALISA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clint Hester Dean, AUDIOLOGIST
• Danny Dean, MS
• Victorial Renett Deavens
• Deep Connections Mental Health Services
• Carla Delgadillo
• Katrina Dendy, MSW
• Connor James Denison, DDS
• Abbey Johnson Dichiara, NP
• Elizabeth McTaggart Dimino, NP
• DMC II Inc (Allegro Family Clinic of East Columbus)

• Optometrist in Columbus, MS
• Providers in Columbus, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.