Jamal James Fox, O.D.
Individual provider Active NPI Optometrist · Florissant, MO
NPI 1124043724 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1124043724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2006001515 (MO)
- Practice address
- 3819 Vaile Ave
Florissant, MO 63034-2227 - Phone
- (314) 838-3311
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Care Health Centers
Curators of the University of Missouri
Practice addresses (Care Compare)
3819 Vaile Ave
Florissant, MO 63034-2227
Phone (314) 838-3311
401 Holly Hills Ave
Saint Louis, MO 63111-2410
Phone 31448116151306
7840 Natural Bridge Rd
Saint Loius, MO 63121-4617
Phone (314) 516-5131
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061101000534 | MO | Practitioner - Optometry | 3870590904 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006001515 | MO | MD | Optometrist |
| 1859 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curators of the University of Missouri | Optometrist | Current |
Accepting new patients |
| Family Care Health Centers | Current |
Accepting new patients | |
| JJ Optical LLC | Optometrist | Current |
Accepting new patients |
| Curators of the University of Missouri | Current |
Accepting new patients | |
| Curators of the University of Missouri | Optometrist | Current |
Accepting new patients |
| Preventative & Regenerative Eye Care, LLC | Optometrist | Past |
Accepting new patients |
| Groat Eyecare Associates, P.a. | Optometrist | Past | Accepting new patients |
Locations
3819 Vaile Ave
Florissant, MO 63034
Phone (314) 838-3311
1 University Blvd
#115
Saint Louis, MO 63121
4352 Manchester Ave
Saint Louis, MO 63110
Phone (314) 371-0336
401 Holly Hills Ave
Saint Louis, MO 63111
Phone (314) 353-5190
7840 Natural Bridge Rd
Saint Louis, MO 63121
Phone (314) 382-6400
1 University Blvd
Saint Louis, MO 63121
Phone (314) 516-5131
3940 Lindell Blvd
Saint Louis, MO 63108
Phone (314) 516-5016
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1859 | NC | |
| Corneal and Contact Management Optometrist | 152WC0802X | 2006001515 | MO | |
| Optometrist | 152W00000X | 2006001515 | MO | Yes |
Addresses
Primary practice location
3819 Vaile Ave
Florissant, MO 63034-2227
Mailing address
2037 Dorsett VLG
Maryland Heights, MO 63043-2207
Phone (314) 205-9797
Other practice location 1
7840 Natural Bridge Blvd
Patient Care Center
St Louis, MO 63121
Phone (314) 516-5131
Other practice location 2
401 Holly Hills Ave
Saint Louis, MO 63111-2410
Phone (314) 353-5190
Other practice location 3
3940 Lindell Blvd
Saint Louis, MO 63108-3204
Phone (314) 516-5016
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.