Individual provider Active NPI

Alyssa Marie Jones, OD

  • Optometrist
  • Tampa, FL
National Provider Identifier
1316516776
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5948 Issued in FL
Practice address
3708 Henderson Blvd
Tampa, FL 33609-4504
Phone
(813) 392-3636
Fax
(813) 773-1501
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5948 FL Primary

Addresses

Primary practice location

3708 Henderson Blvd
Tampa, FL 33609-4504

Mailing address

1601 NW Expressway Ste 1420
Oklahoma City, OK 73118-1460
Phone (405) 438-0345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210628002086 FL Practitioner - Optometry 8123429164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearle Capstone Eye Associates PLLCGroup PAC ID 1951777929, 5 clinicians

Practice addresses (Care Compare)

3708 Henderson Blvd
Tampa, FL 33609-4504
Phone (813) 392-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5948FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
B&B Florida Eye Care PLLC Optometrist CurrentSince Jun 24, 2021 Accepting new patients
Pearle Capstone Eye Associates, PLLC Optometrist CurrentSince Oct 21, 2024 Accepting new patients

Locations

13555 Highway 54
Ste C
Odessa, FL 33556
Phone (813) 454-0670

7855 113th St
Ste A
Seminole, FL 33772
Phone (727) 317-6174

3708 Henderson Blvd
Tampa, FL 33609
Phone (727) 317-6174

510 E Memorial Rd
Ste A4
Oklahoma City, OK 73114
Phone (405) 777-4726

1601 NW Expressway
Ste 1420
Oklahoma City, OK 73118

Networks

  • Freedom Health HMO Network

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1316516776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NW EXPRESSWAY STE 1420",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181460",
            "telephone_number": "405-438-0345",
            "fax_number": "405-353-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 HENDERSON BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094504",
            "telephone_number": "813-392-3636",
            "fax_number": "813-773-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.