Jerry Northcutt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5150TG Issued in TX

Practice address

2405 Yorkstown Dr
Ennis, TX 75119-2191

Phone

(972) 878-3181

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 of Houston - College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jerry Northcutt PLLCGroup PAC ID 1557339215, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Jerry Northcutt, PLLC

  dba Ellis County Eye Center

  • Optometrist
  • Ennis, TX
  • NPI 1881686699
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1669521993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 YORKSTOWN DR",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751192191",
            "telephone_number": "972-878-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 YORKSTOWN DR",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751192191",
            "telephone_number": "972-878-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTHCUTT",
        "first_name": "JERRY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5150TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0409989-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ross Alan Nickoley, CRNA
• Carol Jean Noel, PT
• Norma J Fuelberth MD
• Nortex Anesthesia, PLLC
• North Texas Health Alliance, LLC (Southwestern Surgery Center)
• Northeastern Anesthesia Services PA
• Gerald Noterman, PT
• Mary C Noyola, APRN
• NW Main Chiropractic, P.a. (Ennis Chiropractic and Welness Center, P.a.)
• Oluchi Ozumba MD PA

• Optometrist in Ennis, TX
• Providers in Ennis, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.