Individual provider Active NPI

Jami A Veal, O.D.

  • Optometrist
  • Paragould, AR
National Provider Identifier
1467531970
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2560 Issued in AR
Practice address
2207 Linwood Dr
Paragould, AR 72450-6120
Phone
(870) 219-3961
Fax
(870) 236-1319
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2560 AR Primary

Addresses

Primary practice location

2207 Linwood Dr
Paragould, AR 72450-6120

Mailing address

601 E Matthews Ave
Jonesboro, AR 72401-3145
Phone (870) 935-6396

Other identifiers 1

IdentifierTypeStateIssuer
158714722MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20050929001041 AR Practitioner - Optometry 3870528656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Eye Associates LTDGroup PAC ID 4688576739, 8 clinicians

Practice addresses (Care Compare)

601 E Matthews Ave
Jonesboro, AR 72401-3145
Phone (870) 935-6396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Eye Associates LTD Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Southern Eye Associates LTD Optometrist CurrentSince Sep 1, 2018 Accepting new patients

Locations

601 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-6396

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1467531970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E MATTHEWS AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013145",
            "telephone_number": "870-935-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724506120",
            "telephone_number": "870-219-3961",
            "fax_number": "870-236-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEAL",
        "first_name": "JAMI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158714722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.