Active NPI
Leslie Renee Jones, OD
- Optometrist
- Memphis, TN
National Provider Identifier
1104635390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1103
- Practice address
- 3 Lydgate Ave
Memphis, TN 38109-4523 - Phone
- (901) 857-0054
- NPI assigned
- Jan 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1103 | MS | Primary |
Addresses
Primary practice location
3 Lydgate Ave
Memphis, TN 38109-4523
Mailing address
3 Lydgate Ave
Memphis, TN 38109-4523
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
837 Kings Crossing Dr
Suite 10
Tupelo, MS 38804-0952
Phone (888) 840-3032
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1103 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Vision Services LLC | Optometrist | Current | Accepting new patients |
Locations
837 Kings Crossing Dr
Ste 10
Tupelo, MS 38804
Phone (662) 269-4175
10826 Old Mill Rd
Ste 101
Omaha, NE 68154
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": "1735776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1104635390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LYDGATE AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381094523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 LYDGATE AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381094523",
"telephone_number": "901-857-0054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LESLIE",
"middle_name": "RENEE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-02",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "1103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.