Jessica Lauren Dinwiddie, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2662 Issued in AR

Practice address

1810 N College Ave Ste 110
Fayetteville, AR 72703-2607

Phone

(479) 903-7393

Fax

(479) 802-6204

NPI assigned

Jul 13, 2011

Last updated

Nov 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• The Exclusive Eye, PLLC

  • Optometrist
  • Fayetteville, AR
  • NPI 1801345426
  Medicare reassignment NPD Authorized official
• Bill F. Morgan, O.D.

  dba Bill F Morgan OD PA

  • Optometrist
  • Cabot, AR
  • NPI 1770753253
  NPD (past)
• Morgan Vision Clinic

  • Optometrist
  • Cabot, AR
  • NPI 1366731002
  NPD (past)

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1174811970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 N COLLEGE AVE STE 110",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032607",
            "telephone_number": "479-903-7393",
            "fax_number": "479-802-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 N COLLEGE AVE STE 110",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032607",
            "telephone_number": "479-903-7393",
            "fax_number": "479-802-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINWIDDIE",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peyten Dillon, DC
• Brenda O. Dimauro, C.P.N.P.
• Alyssa Rachel Dimitrov, DPT
• Timothy Dinger, LPC
• Elli Dinkmeyer
• J. Kathryn F. Dionne, M.S., CCC/A
• Kimberly M Divis, PT
• Dannhi Jaclyn DO
• Doc's Clinic and Institute, PLC
• Veronica G Dockery, PA

• Optometrist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.