Individual provider Active NPI

Jennifer Leonard Dooley, O.D.

  • Optometrist
  • Meridian, MS
National Provider Identifier
1568832483
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
921 Issued in MS
Practice address
2024 15TH St Ste 5D
Meridian, MS 39301-4130
Phone
(601) 553-2100
Fax
(601) 553-2104
NPI assigned
Oct 5, 2015
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 921 MS Primary

Addresses

Primary practice location

2024 15TH St Ste 5D
Meridian, MS 39301-4130

Mailing address

5770 Winchester PL
Meridian, MS 39307-8809
Phone (601) 480-9296

Other practice location 1

4721 26th Ave
Meridian, MS 39305-4703
Phone (601) 485-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20181116001879 MS Practitioner - Optometry 6305190950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Vision Center PLLCGroup PAC ID 2668415043, 2 clinicians

Practice addresses (Care Compare)

2024 15TH St
Suite 5D
Meridian, MS 39301-4130
Phone (601) 553-2100

Merit-based Incentive Payment System (MIPS)

Final score
92.96 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
921MSMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Vision Center PLLC Optometrist CurrentSince Feb 1, 2023 Accepting new patients
Primary Eyecare & Optical of Meridian, P.a. Optometrist CurrentSince Jul 17, 2018 Accepting new patients

Locations

705 Sawmill Rd
Laurel, MS 39440
Phone (601) 649-1437

2024 15th St
Ste 5D
Meridian, MS 39301
Phone (601) 553-2100

4721 26th Ave
Meridian, MS 39305
Phone (601) 485-2020

Interoperability endpoints

  • Direct secure messaging: jdooley@avc.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1568832483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 WINCHESTER PL",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393078809",
            "telephone_number": "601-480-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 15TH ST STE 5D",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014130",
            "telephone_number": "601-553-2100",
            "fax_number": "601-553-2104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4721 26th Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393054703",
            "country_code": "US",
            "telephone_number": "601-485-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "JENNIFER",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.