Active NPI
Jamie Clay Simmers, OD
- Optometrist
- Winchester, VA
National Provider Identifier
1215933981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0601001538
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9235604 | Medicaid | VA | |
| 010034621 | Medicaid | VA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 103 |
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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1538 | VA | MD | Clinical Psychologist |
| 0601001538 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Eyewear Supplier
- Woodstock, VA
- NPI 1568452456
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.