Individual provider Active NPI

Kirk Davenport Jones, O.D.

  • Optometrist
  • Dothan, AL
National Provider Identifier
1528375466
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
C48 Issued in AL
Practice address
2826 Ross Clark Cir Ste 102
Dothan, AL 36301-2017
Phone
(334) 793-2633
Fax
(334) 794-1626
NPI assigned
Sep 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X C48 AL Primary

Addresses

Primary practice location

2826 Ross Clark Cir Ste 102
Dothan, AL 36301-2017

Mailing address

2800 Ross Clark Cir
Dothan, AL 36301-2040
Phone (334) 793-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20101208000267 AL Practitioner - Optometry 9436346087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Partners PCGroup PAC ID 8123016334, 31 clinicians

Practice addresses (Care Compare)

2800 Ross Clark Cir
Dothan, AL 36301-2039

2800 Ross Clark Cir
Dothan, AL 36301-2040
Phone (334) 793-2211

Merit-based Incentive Payment System (MIPS)

Final score
84.59 of 100Reported as group
Quality
87.13
Promoting interoperability
95
Improvement activities
40
Cost
65.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C48ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Partners PC CurrentSince Apr 1, 2019 Accepting new patients
Eye Partners PC Optometrist Current Accepting new patients
Eye Partners, PC Optometrist CurrentSince Apr 1, 2019 Accepting new patients

Locations

2826 Ross Clark Cir
Ste 102
Dothan, AL 36301
Phone (334) 793-2633

2800 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-3411

151 W Main St
Dothan, AL 36301
Phone (334) 793-2633

Interoperability endpoints

  • Direct secure messaging: kirk.jones.p1@direct.ecs.nextgenshare.com

Organizations & group practices 3

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": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1528375466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ROSS CLARK CIR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012040",
            "telephone_number": "334-793-2211",
            "fax_number": "334-793-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2826 ROSS CLARK CIR STE 102",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363012017",
            "telephone_number": "334-793-2633",
            "fax_number": "334-794-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KIRK",
        "middle_name": "DAVENPORT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "C48",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.