Jessica Joy Humphrey, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005920 Issued in MI

Practice address

110 Riverside Dr
Manchester, MI 48158-9776

Phone

(734) 428-2020

Fax

(734) 428-8955

NPI assigned

Oct 28, 2025

Last updated

Feb 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MI

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

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manchester Eye Care Center, P.C.Group PAC ID 3678648409, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Manchester Eye Care Center, P.C.

  • Clinic/Center
  • Manchester, MI
  • NPI 1003082447
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1265300511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 RIVERSIDE DR",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481589776",
            "telephone_number": "734-428-2020",
            "fax_number": "734-428-8955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RIVERSIDE DR",
            "city": "MANCHESTER",
            "state": "MI",
            "postal_code": "481589776",
            "telephone_number": "734-428-2020",
            "fax_number": "734-428-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "JESSICA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-28",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Hauser, PT
• Gary V Haynes, PA
• Healthy Smiles Dental Care LLC
• Theresa Herron
• Heather Huber, NP
• Nora Miriam Keith, AGACNP-BC
• Larock Dental
• Aaron Larock, DDS
• Tara Lauer
• Barbara Madaj

• Optometrist in Manchester, MI
• Providers in Manchester, MI by specialty
• Optometrist in Michigan

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

Verify at the official NPI Registry.