Jessica Coggin

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-E76-TA-C21 Issued in AL

Practice address

1313 13TH Ave SE
Decatur, AL 35601-4308

Phone

(256) 353-1787

NPI assigned

Apr 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Alabama LLCGroup PAC ID 0840559878, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myeyedr Optometry of Alabama LLC

  • Optometrist
  • Tuscaloosa, AL
  • NPI 1770093551

  AL, Optometrist

  Medicare reassignment Care Compare group NPD
• Decatur Family Eye Care LLC

  • Optometrist
  • Decatur, AL
  • NPI 1023594603

  AL, Optometrist

  Medicare reassignment NPD
• Myeyedr Optometry of Alabama LLC

  • Optometrist
  • Montgomery, AL
  • NPI 1730699521
  NPD
• Myeyedr Optometry of Alabama, LLC

  • Optometrist
  • Cullman, AL
  • NPI 1104488055
  NPD
• Herbert H. Bowden

  • Specialist
  • Huntsville, AL
  • NPI 1104940774
  NPD (past)
• Myeyedr Optometry of Alabama LLC

  • Optometrist
  • Birmingham, AL
  • NPI 1922518943
  NPD (past)

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1558942425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014308",
            "telephone_number": "256-353-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014308",
            "telephone_number": "256-353-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1686 Montgomery Hwy",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352164906",
            "country_code": "US",
            "telephone_number": "205-979-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COGGIN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E76-TA-C21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delana Cole Clemons, NP-C
• Brandy Ray Cobbs, LICSW
• Tarina Asha Jain Coburn, PHARMD
• Kelly A Cody, CRNP, PMHNP-BC
• Jessica Coffey
• Faye Colella
• Lisa S Coleman, LCSW
• Kirklan G. Collins, MS, PT
• Myriya Collins, CRNP
• Tricia Lane Collins, LMFT

• All providers in Decatur, AL
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.