Individual provider Active NPI

Jessica Fordyce, OD

  • Optometrist
  • Oak Hill, WV
National Provider Identifier
1689363459
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3027-IOD Issued in WV
Practice address
497 Mall Rd
Oak Hill, WV 25901-6216
Phone
(304) 469-2905
NPI assigned
May 5, 2023
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 3027-IOD WV Primary

Addresses

Primary practice location

497 Mall Rd
Oak Hill, WV 25901-6216

Mailing address

802 Overlook Dr
Beckley, WV 25801-9234
Phone (304) 991-1997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20230614003491 WV Practitioner - Optometry 7719345297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care IncGroup PAC ID 2264569094, 4 clinicians
New River Health Association IncGroup PAC ID 2365348596, 36 clinicians

Practice addresses (Care Compare)

204 Town Ctr Rd
Fayetteville, WV 25840
Phone (304) 574-3557

497 Mall Rd
Oak Hill, WV 25901-6216
Phone (304) 469-2905

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New River Health Association, Inc. CurrentSince Jan 31, 2024 Accepting new patients
Family Vision Care Inc Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Visionary Eye Clinic PLLC Optometrist CurrentSince Nov 24, 2024 Accepting new patients
New River Health Association, Inc. CurrentSince Jan 31, 2024 Accepting new patients
R Joe Weaver OD Optometrist CurrentSince May 23, 2023 Accepting new patients
New River Health Association, Inc. Past Accepting new patients

Locations

204 Town Center Rd
Fayetteville, WV 25840
Phone (304) 574-1279

497 Mall Rd
Oak Hill, WV 25901
Phone (304) 469-3261

1600 Grand Central Ave
Vienna, WV 26105
Phone (304) 295-8561

Interoperability endpoints

  • Direct secure messaging: jessica.fordyce.1@16450.direct.athenahealth.com

Organizations & group practices 6

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": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1689363459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 OVERLOOK DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258019234",
            "telephone_number": "304-991-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 MALL RD",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259016216",
            "telephone_number": "304-469-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDYCE",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-05",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "3027-IOD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

Verify at the official NPI Registry.