Jesse Logan Mize, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2072-IOD Issued in WV

Practice address

706 Washington St
Ravenswood, WV 26164-1772

Phone

(304) 273-2020

Fax

(304) 273-1160

NPI assigned

Aug 18, 2020

Sex

Male

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 WV

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

Illinois College of Optometry at Chicago, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jesse Ben Mize III and Christie Mize PTRGroup PAC ID 8123078649, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.34 of 100Reported as group

Quality

85.2

Improvement activities

40

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Jesse Ben Mize III & Christie Mize PTR

  • Optometrist
  • Ravenswood, WV
  • NPI 1881643583
  Medicare reassignment Care Compare group NPD
• John B. Knight, OD

  • Optometrist
  • Barboursville, WV
  • NPI 1972666030
  Medicare reassignment
• Jesse Ben Mize III & Christie Mize PTR

  • Optometrist
  • Point Pleasant, WV
  • NPI 1306710488
  NPD
• John B. Knight OD

  • Optometrist
  • Barboursville, WV
  • NPI 1881885515
  NPD (past)
• West Virginia Eye Consultants, LLC

  • Ophthalmology Physician
  • Charleston, WV
  • NPI 1801171517

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1285246546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 WASHINGTON ST",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641772",
            "telephone_number": "304-273-2020",
            "fax_number": "304-273-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 WASHINGTON ST",
            "city": "RAVENSWOOD",
            "state": "WV",
            "postal_code": "261641772",
            "telephone_number": "304-273-2020",
            "fax_number": "304-273-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "JESSE",
        "middle_name": "LOGAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2072-IOD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Midkiff
• Kelsie Miller
• Michelle Mills
• Christine R Mize, O.D.
• Jesse Ben Mize III, O.D.
• Grace Moore
• Jessilyn Moore
• Shirin M Morad, DO
• Mountain River Physical Therapy, LLC
• David Joe Mullins

• Optometrist in Ravenswood, WV
• Providers in Ravenswood, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.