Individual provider Active NPI

Jessie Lalonde, O.D.

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1710355490
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002542 Issued in AZ
Practice address
6705 E McDowell Rd
Mesa, AZ 85215-1751
Phone
(480) 985-7400
Fax
(480) 396-6362
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002542 AZ Primary
Optometrist 152W00000X 4901004904 MI

Addresses

Primary practice location

6705 E McDowell Rd
Mesa, AZ 85215-1751

Mailing address

4800 N 22ND St Ste 210
Phoenix, AZ 85016-4963
Phone (602) 955-1000

Other practice location 1

205 S Bradley Hwy
Rogers City, MI 49779-2137
Phone (989) 734-2052

Other identifiers 1

IdentifierTypeStateIssuer
101209MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170315000195 MI Practitioner - Optometry 1254616212 Reassigns benefits to 1 organization
I20211007003424 AZ Practitioner - Optometry 1254616212 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnet Dulaney Perkins Eye Center, PCGroup PAC ID 0749288298, 104 clinicians

Practice addresses (Care Compare)

855 S Dobson Rd
Suite 1
Chandler, AZ 85224-5719
Phone (602) 955-1000

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002542AZMDOptometrist
4901004904MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Oct 1, 2021 Accepting new patients
Thunder Bay Community Health Service, Inc Optometrist CurrentSince Feb 15, 2019 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients
Southwestern Eye Center LTD CurrentSince Oct 1, 2021 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Oct 1, 2021 Accepting new patients
Southwestern Eye Center, LTD Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Thunder Bay Community Health Service, Inc CurrentSince Feb 15, 2019 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients

Locations

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

855 S Dobson Rd
Ste 1
Chandler, AZ 85224

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

520 S Hill St
Globe, AZ 85501
Phone (928) 425-8989

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

6705 E McDowell Rd
Mesa, AZ 85215
Phone (480) 985-7400

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

1121 S Gilbert Rd
Ste 103
Mesa, AZ 85204
Phone (480) 459-8500

8435 E Baseline Rd
Ste 101
Mesa, AZ 85209
Phone (480) 373-0860

7435 E Main St
Ste 101
Mesa, AZ 85207
Phone (480) 634-3777

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

8763 E Bell Rd
Ste 106
Scottsdale, AZ 85260

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

75 Colonia de Salud
Ste 100A
Sierra Vista, AZ 85635
Phone (520) 459-6860

5632 E 5th St
Tucson, AZ 85711
Phone (520) 584-8888

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

780 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 384-2285

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

11899 M 32
Atlanta, MI 49709
Phone (989) 785-4855

205 S Bradley Hwy
Rogers City, MI 49779
Phone (989) 356-0141

Interoperability endpoints

  • Direct secure messaging: jessie.lalonde.p20@direct.avp.nextgenshare.com
  • Direct secure messaging: jessie.lalonde.p11@direct.avp.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1710355490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164963",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 E MCDOWELL RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151751",
            "telephone_number": "480-985-7400",
            "fax_number": "480-396-6362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Bradley Hwy",
            "address_purpose": "LOCATION",
            "city": "Rogers City",
            "state": "MI",
            "postal_code": "497792137",
            "country_code": "US",
            "telephone_number": "989-734-2052",
            "fax_number": "989-734-7390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LALONDE",
        "first_name": "JESSIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002542",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004904",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101209",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.