Jarvis Vision Center, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1707DT Issued in KY

Legal business name

JARVIS VISION CENTER, PLLC

Practice address

1806 N. 4TH St
Murray, KY 42071

Phone

(270) 759-1429

Fax

(270) 759-1493

NPI assigned

Sep 12, 2007

Last updated

Dec 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reed H Jarvis, O.D.NPI 1578762449

Title

Owner

Phone

(270) 759-1429

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 4

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.

• Reed Jarvis, O.D.

  • Optometrist
  • Murray, KY
  • NPI 1578762449
  Medicare reassignment NPD Authorized official
• Mary Jo Baize-Moore, O.D.

  • Optometrist
  • Murray, KY
  • NPI 1073513057
  Medicare reassignment NPD
• Jesse Carl Williams, O.D.

  • Optometrist
  • Murray, KY
  • NPI 1821343708
  Medicare reassignment
• Troy W Johnson, OD

  • Optometrist
  • Murray, KY
  • NPI 1316091887
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1568657526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N. 4TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "42071",
            "telephone_number": "270-759-1429",
            "fax_number": "270-759-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N. 4TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "42071",
            "telephone_number": "270-759-1429",
            "fax_number": "270-759-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARVIS VISION CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "REED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-759-1429",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "1707DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1707DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100023470",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Raeann Jackson, PHARMD
• Herschel S Jackson Jr., M.D.
• Leanna Marie Jackson, APRN
• James David Jaco, O.D.
• Alycia Christine Janow
• Reed Jarvis, O.D.
• Anna Jayjock
• Julie Anne Jenkins
• Maria D Jennings, CRNA
• Kenneth Lee Jewell, LPCC

• Optometrist in Murray, KY
• Providers in Murray, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.