Individual provider Active NPI

Judy Gail Jones, O.D.

  • Optometrist
  • Bartlett, TN
National Provider Identifier
1093806945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1641 Issued in TN
Practice address
8400 US Highway 64
Bartlett, TN 38133-4187
Phone
(901) 381-1222
Fax
(901) 382-5281
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

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
Optometrist 152W00000X 1641 TN Primary

Addresses

Primary practice location

8400 US Highway 64
Bartlett, TN 38133-4187

Mailing address

4023 Brunswick Rd
Bartlett, TN 38133-2135
Phone (901) 386-4163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111107000307 TN Practitioner - Optometry 0749453843 Practice locations: Bartlett, TN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8400 US Hwy 64
Bartlett, TN 38133-4187
Phone (901) 381-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1641TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East LP Past Accepting new patients

Organizations & group practices 1

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093806945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 BRUNSWICK RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332135",
            "telephone_number": "901-386-4163",
            "fax_number": "901-377-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 US HIGHWAY 64",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334187",
            "telephone_number": "901-381-1222",
            "fax_number": "901-382-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JUDY",
        "middle_name": "GAIL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.