Jacob Shumway Bailey, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

697 Issued in NM

Practice address

1124 10TH St
Alamogordo, NM 88310-6414

Phone

(575) 434-1200

NPI assigned

Feb 14, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fillmore Eye Clinic IncorporatedGroup PAC ID 7214069293, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbailey@fec.intellechartdirect.net

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.

• Fillmore Eye Clinic Incorporated

  • Ophthalmology Physician
  • Alamogordo, NM
  • NPI 1083931182
  Medicare reassignment Care Compare group NPD
• Fillmore Eye Clinic Incorporated

  • Ophthalmology Physician
  • Alamogordo, NM
  • NPI 1104295906
  NPD
• Fillmore Eye Clinic Incorporated

  • Ambulatory Surgical Clinic/Center
  • Alamogordo, NM
  • NPI 1487657862
  NPD (past)

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1497095244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 COLLEGE WAY",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161756",
            "telephone_number": "503-858-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 10TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106414",
            "telephone_number": "575-434-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "697 Louisiana Rd",
            "address_purpose": "LOCATION",
            "city": "Dyess AFB",
            "state": "TX",
            "postal_code": "796071141",
            "country_code": "US",
            "telephone_number": "503-858-0991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "JACOB",
        "middle_name": "SHUMWAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-14",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "ODP-100283",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Bacungan
• Robin Kyungho Baek
• Natalie Baggett, M.S., CF-SLP
• David Bailey, CPSW
• Florence May Bailey
• James Kevin Bailey
• Rachel Bailey
• Bairns Psychiatric Group LLC
• Alyssa Baker
• Kristy Baker

• Optometrist in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.