Dr. Tim Jessee, Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000391 Issued in VA

Legal business name

DR. TIM JESSEE, OPTOMETRY INC

Practice address

1851 W Main St
Salem, VA 24153-3111

Phone

(540) 375-3937

Fax

(540) 387-4219

NPI assigned

Jun 19, 2007

Last updated

Nov 28, 2012By 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. Timothy Garland Jessee, O.D.NPI 1225143639

Title

Owner

Phone

(540) 375-3937

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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.

• Timothy Garland Jessee, O.D.

  • Optometrist
  • Salem, VA
  • NPI 1225143639
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1649475740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 W MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533111",
            "telephone_number": "540-375-3937",
            "fax_number": "540-387-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 W MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533111",
            "telephone_number": "540-375-3937",
            "fax_number": "540-387-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TIM JESSEE, OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "JESSEE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "GARLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-375-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "186600",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010237581",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert E Dowling, MD
• Kristi MB Downs, PTA
• Michael Anthony Doyle, RPH
• Michael Stanley Doyle, MSW
• Dr G Sprinkle
• Deanna Michelle Dragan, PHD
• Anthony Louis Dragovich, MD
• Sarah Marie Driscoll, OD
• Steven Michael Drosky
• DRS. Gold and Abbott, LTD.

• Optometrist in Salem, VA
• Providers in Salem, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.