Individual provider Active NPI

Jamie Clay Simmers, OD

  • Optometrist
  • Winchester, VA
National Provider Identifier
1215933981
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0601001538 Issued in VA
Practice address
125 Prosperity Drive
Suite 400
Winchester, VA 22602-5386
Phone
(540) 869-8984
Fax
(540) 869-1693
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0601001538 VA Primary

Addresses

Primary practice location

125 Prosperity Drive
Suite 400
Winchester, VA 22602-5386

Mailing address

186 Hites Rd
Stephens City, VA 22655-5224
Phone (540) 869-5032

Other identifiers 2

IdentifierTypeStateIssuer
9235604MedicaidVA
010034621MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040319000863 VA Practitioner - Optometry 7113817214 Practice locations: Winchester, VA; Woodstock, VA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 Prosperity Dr
Suite 400
Winchester, VA 22602-5386
Phone (540) 869-8984

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1538VAMDClinical Psychologist
0601001538VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Optical Inc Past Accepting new patients
Shenandoah Optical Inc. Past Accepting new patients

Organizations & group practices 2

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215933981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 HITES RD",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226555224",
            "telephone_number": "540-869-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PROSPERITY DRIVE",
            "address_2": "SUITE 400",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226025386",
            "telephone_number": "540-869-8984",
            "fax_number": "540-869-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMERS",
        "first_name": "JAMIE",
        "middle_name": "CLAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9235604",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010034621",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.