Jessica T. DO, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003670 Issued in PA

Practice address

4600 E Roosevelt Blvd BLDG G
Philadelphia, PA 19124-2358

Phone

(215) 288-8900

NPI assigned

Jun 5, 2020

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 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

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 and National Provider Directory roles.

• Alpha Eye City Line, LLC

  • Optometrist
  • Philadelphia, PA
  • NPI 1740883297
  Medicare reassignment NPD
• Alpha Optical Doylestown, LLC

  • Optometrist
  • Doylestown, PA
  • NPI 1851893226
  Medicare reassignment NPD
• Gretchen J Brewer, OD & Associates, Inc

  • Optometrist
  • Philadelphia, PA
  • NPI 1386731727
  Medicare reassignment NPD
• Visionworks, Inc.

  • Optometrist
  • Erie, PA
  • NPI 1063579837
  Medicare reassignment NPD
• Alpha Eye Wyomissing, LLC

  • Optometrist
  • Wyomissing, PA
  • NPI 1497279095
  Medicare reassignment
• Visionworks, Inc

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD
• Thomas S Phillips Odpc

  • Optometrist
  • Warminster, PA
  • NPI 1770682387
  NPD (past)

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1053935908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 E ROOSEVELT BLVD BLDG G",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242358",
            "telephone_number": "258-288-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E ROOSEVELT BLVD BLDG G",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242358",
            "telephone_number": "215-288-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "179 York Rd",
            "address_purpose": "LOCATION",
            "city": "Warminster",
            "state": "PA",
            "postal_code": "189744581",
            "country_code": "US",
            "telephone_number": "215-674-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DO",
        "first_name": "JESSICA",
        "middle_name": "T.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-05",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly DO Nguyen, D.M.D.
• DO What You'Re Built for Foundation
• DO What You'Re Built for Foundation
• Andrew S. DO, O.D
• Duc DO, PHARMD
• Leah DO
• Louis DO, DO
• Ngan DO, MD
• Ngan Kim DO, RPH
• Thao Tran Phi DO, DMD

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.