Jamie Congleton, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 5073 Issued in FL

Practice address

4600 Mobile Hwy
Suite 122
Pensacola, FL 32506-3508

Phone

(850) 455-0722

Fax

(850) 455-0723

NPI assigned

Jun 24, 2015

Last updated

Sep 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 FL

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

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Congleton Eye Care, LLC

  • Optometrist
  • Pensacola, FL
  • NPI 1750761375
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1578945705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MOBILE HWY STE 9",
            "address_2": "PMB 139",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063500",
            "telephone_number": "850-455-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MOBILE HWY",
            "address_2": "SUITE 122",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063508",
            "telephone_number": "850-455-0722",
            "fax_number": "850-455-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONGLETON",
        "first_name": "JAMIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward G Condon III, CRNA
• Jamie Williams Condon, ND
• Lisa Cone, OTR/L
• Peter Joseph Congiundi, DDS
• Congleton Eye Care, LLC
• Jeanette L Connell, DNP, ACNP-BC, FNP-C
• Austin Paul Conner Sr., R.PH
• Kayla Connick, MT-BC
• Megan Leeanne Conrad
• Michael P Conrad, MD

• Optometrist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.