Jessica Ann Ditto, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD0000002695 Issued in TN

Practice address

404 N Castle Heights Ave Ste a
Lebanon, TN 37087-1512

Phone

(615) 449-0541

NPI assigned

Nov 14, 2006

Last updated

Jun 15, 2022By 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

Electronic endpoints 1

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

Specialty

Optometry

Education

Southern College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hermitage Eye Care, PLLCGroup PAC ID 0446576359, 48 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Hermitage Eye Care PLLC

  • Optometrist
  • Hermitage, TN
  • NPI 1275943052
  Medicare reassignment Care Compare group NPD
• Hermitage Eye Care PLLC

  dba Brentwood, Conn Vision

  • Optometrist
  • Brentwood, TN
  • NPI 1689479909
  NPD (past)
• Murfreesboro Eye Center PLLC

  dba Mount Juliet Eye Center

  • Optometrist
  • Murfreesboro, TN
  • NPI 1407589195
  NPD (past)
• Phillip R Hammond

  • Optometrist
  • Hermitage, TN
  • NPI 1780856922
  NPD (past)
• Magnolia Dermatology, PLLC

  • Dermatology Physician
  • Clinton, MS
  • NPI 1841645470
  NPD (past)
• Optical 2000

  • Optometrist
  • Clinton, MS
  • NPI 1144422577
  NPD (past)
• Optical 2000 of Flora PA

  • Optometrist
  • Flora, MS
  • NPI 1447794797
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1114099132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 BEECH GROVE WAY",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372116653",
            "telephone_number": "615-440-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N CASTLE HEIGHTS AVE STE A",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871512",
            "telephone_number": "615-449-0541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4130 Andrew Jackson Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370762203",
            "country_code": "US",
            "telephone_number": "615-885-2027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITTO",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000002695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://visionsource-familyeyemed.com/",
            "affiliation": "N",
            "address_1": "404 N Castle Heights Ave Ste A",
            "city": "Lebanon",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370871512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Optometrist in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.