Individual provider Active NPI

Jessi Sampson, OD

  • Optometrist
  • Sutton, WV
National Provider Identifier
1396528311
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3026 Issued in WV
Practice address
78 Skidmore LN
Sutton, WV 26601-9202
Phone
(304) 202-6245
NPI assigned
Aug 15, 2023
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3026 WV Primary

Addresses

Primary practice location

78 Skidmore LN
Sutton, WV 26601-9202

Mailing address

78 Skidmore LN
Sutton, WV 26601-9202

Other names 1

  • Jessi Tyo Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240510002679 WV Practitioner - Optometry 8921449752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Whittington and Whittington PTRGroup PAC ID 5698704351, 7 clinicians

Practice addresses (Care Compare)

3840 Pennsylvania Ave
Charleston, WV 25302-4650
Phone (304) 342-0660

78 Skidmore LN
Sutton, WV 26601-9202
Phone (304) 202-6245

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Whittington & Whittington PTR Optometrist CurrentSince Feb 28, 2024 Accepting new patients
Sampson Eye Care Optometrist CurrentSince Jan 27, 2026 Accepting new patients

Locations

3840 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 342-0660

78 Skidmore Ln
Sutton, WV 26601
Phone (304) 202-6245

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1396528311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SKIDMORE LN",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 SKIDMORE LN",
            "city": "SUTTON",
            "state": "WV",
            "postal_code": "266019202",
            "telephone_number": "304-202-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "JESSI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "3026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSI",
            "last_name": "TYO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sutton, WV

Sources for this page

Verify at the official NPI Registry.