NPIMap

Organization Active NPI

JMP Optometry, PLLC

Doing business as Academy Eye Associates

  • Optometrist
  • Chapel Hill, NC
National Provider Identifier
1528559812
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2043 Issued in NC
Legal business name
JMP OPTOMETRY, PLLC
Doing business as
Academy Eye Associates
Practice address
910 Martin Luther King Jr Blvd Ste 100
Chapel Hill, NC 27514-2655
Phone
(919) 942-8531
Fax
(919) 942-0719
NPI assigned
May 23, 2018
Last updated
May 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Jennifer Michelle Powell, ODNPI 1437209913
Title
OD / Owner
Phone
(919) 493-7456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2043 NC Primary

Addresses

Primary practice location

910 Martin Luther King Jr Blvd Ste 100
Chapel Hill, NC 27514-2655

Mailing address

910 Martin Luther King Jr Blvd Ste 100
Chapel Hill, NC 27514-2655
Phone (919) 942-8531

Other names 1

  • Academy Eye Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190204000002 NC Part B Supplier - Clinic/Group Practice 9537406269 Receives reassigned benefits from 1 practitioner
Practice locations: Chapel Hill, NC

National Provider Directory

National Provider Directory

Locations

910 Martin Luther King Jr Blvd
Ste 100
Chapel Hill, NC 27514
Phone (919) 942-8531

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1528559812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MARTIN LUTHER KING JR BLVD STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142655",
            "telephone_number": "919-942-8531",
            "fax_number": "919-942-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MARTIN LUTHER KING JR BLVD STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142655",
            "telephone_number": "919-942-8531",
            "fax_number": "919-942-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMP OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OD / OWNER",
        "authorized_official_telephone_number": "919-493-7456",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Academy Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Academy Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.