Active NPI
Jessica M Hall, OD
- Optometrist
- Huntingtown, MD
National Provider Identifier
1366490401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8854T
- Practice address
- 28 Cox Rd
Huntingtown, MD 20639-9278 - Phone
- (410) 414-9456
- NPI assigned
- May 4, 2006
- Sex
- Female
- 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 | 8854T | TX | Primary |
Addresses
Primary practice location
28 Cox Rd
Huntingtown, MD 20639-9278
Mailing address
2790 SW Wilshire Blvd
Burleson, TX 76028-8338
Phone (817) 484-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2790 SW Wilshire Blvd
Burleson, TX 76028-8338
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.37 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 74.56
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8854T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berry Eye Center PA | Current | Accepting new patients | |
| Huntingtown Vision Center, LLC | Optometrist | Past | Accepting new patients |
Locations
2790 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 484-2020
12001 South Fwy
Ste 101
Burleson, TX 76028
Phone (807) 615-4400
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.
-
- Ophthalmology Physician
- Burleson, TX
- NPI 1891924452
-
- Optometrist
- Huntingtown, MD
- NPI 1750323572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1366490401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2790 SW WILSHIRE BLVD",
"city": "BURLESON",
"state": "TX",
"postal_code": "760288338",
"telephone_number": "817-484-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 COX RD",
"city": "HUNTINGTOWN",
"state": "MD",
"postal_code": "206399278",
"telephone_number": "410-414-9456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JESSICA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8854T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntingtown, MD
- Emad R Albanna MD PA
- Anthony Vincent Esser, LCPC
- Chantal Nyefen Fokum, CRNP
- Nicole Charlene Frey, LGPC
- Jennifer J Gosnell, A0166 MD
- Roula Amal Hawit, MD
- Healing Circle Mental Health Inc.
- Huntingtown Dental and Sleep Solutions, LLC
- Huntingtown Vision Center, LLC
- Huntingtown Volunteer Fire Department Rescue Squad
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.