Individual provider Active NPI

Jamie Holliday Hiscox, O.D.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1184938516
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ1760 Issued in AZ
Practice address
7402 E Broadway Blvd
Tucson, AZ 85710-1411
Phone
(520) 885-2052
Fax
(520) 886-7488
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X AZ1760 AZ Primary

Addresses

Primary practice location

7402 E Broadway Blvd
Tucson, AZ 85710-1411

Mailing address

8456 E Broadway Blvd
Tucson, AZ 85710-4010
Phone (520) 370-1346

Other names 1

  • Jamie Holliday Morris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101213000606 AZ Practitioner - Optometry 6709073075 Reassigns benefits to 1 organization
I20180522002872 TX Practitioner - Optometry 6709073075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hiscox Optometry PLLCGroup PAC ID 4880881606, 2 clinicians

Practice addresses (Care Compare)

1700 E Fort Lowell Rd
Suite 103
Tucson, AZ 85719-2395
Phone (520) 325-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ1760AZMDOptometrist
1760AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation CurrentSince Apr 14, 2018 Accepting new patients
Hiscox Optometry P.L.L.C. Optometrist CurrentSince Aug 19, 2017 Accepting new patients
San Carlos Apache Healthcare Corporation Single Specialty Current Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

7402 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 261-2563

1700 E Fort Lowell Rd
Ste 103
Tucson, AZ 85719
Phone (520) 325-8700

8456 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 795-4202

Organizations & group practices 3

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": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1184938516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8456 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104010",
            "telephone_number": "520-370-1346",
            "fax_number": "520-886-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101411",
            "telephone_number": "520-885-2052",
            "fax_number": "520-886-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISCOX",
        "first_name": "JAMIE",
        "middle_name": "HOLLIDAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ1760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "MORRIS",
            "middle_name": "HOLLIDAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.