Individual provider Active NPI

Jessica W. Norris, O.D.

  • Optometrist
  • Albany, OR
National Provider Identifier
1124052261
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2935AT Issued in OR
Practice address
2715 Willetta St SW
Albany, OR 97321-3471
Phone
(541) 926-5848
Fax
(541) 926-2873
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2935AT OR Primary

Addresses

Primary practice location

2715 Willetta St SW
Albany, OR 97321-3471

Mailing address

2715 Willetta St SW
Albany, OR 97321-3471
Phone (541) 926-5848

Other identifiers 1

IdentifierTypeStateIssuer
275259MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20040624001166 OR Practitioner - Optometry 0749266427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates PCGroup PAC ID 0648265470, 17 clinicians

Practice addresses (Care Compare)

227 NW 3Rd St
Corvallis, OR 97330-4801
Phone (541) 757-1120

2400 NW Century Dr
Corvallis, OR 97330-3568
Phone (541) 752-4622

2715 Willetta St SW
Suite B
Albany, OR 97321-3471
Phone (541) 926-5848

2715 Willetta St SW B
Albany, OR 97321-3471

Merit-based Incentive Payment System (MIPS)

Final score
80.37 of 100Reported as group
Quality
68.21
Improvement activities
40
Cost
76.96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2935ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates PC Optometrist CurrentSince Aug 1, 2004 Accepting new patients

Locations

2715 Willetta St SW
Albany, OR 97321
Phone (541) 926-5848

2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848

2400 NW Century Dr
Corvallis, OR 97330
Phone (541) 752-4622

Interoperability endpoints

  • Direct secure messaging: jessica.norris.p1@direct.eca.nextgenshare.com

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1124052261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 WILLETTA ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213471",
            "telephone_number": "541-926-5848",
            "fax_number": "541-926-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 WILLETTA ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213471",
            "telephone_number": "541-926-5848",
            "fax_number": "541-926-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "JESSICA",
        "middle_name": "W.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2935AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275259",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.