Jesse Erin Puckett, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-F61-TA-D76 Issued in AL

Practice address

2801 Frederick Rd
Opelika, AL 36801-7101

Phone

(334) 679-1183

NPI assigned

Jun 2, 2025

Last updated

Aug 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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 AL

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Eye Associates Opelika LLCGroup PAC ID 4486020864, 2 clinicians

Premier Eye Associates, LLCGroup PAC ID 2466846704, 2 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Eye Associates Opelika LLC

  dba Premier Eye Associates

  • Optometrist
  • Opelika, AL
  • NPI 1992432728
  Medicare reassignment Care Compare group NPD
• Premier Eye Associates, LLC

  • Optometrist
  • Auburn, AL
  • NPI 1558937623
  Medicare reassignment Care Compare group NPD
• Premier Eye Associates Prattville LLC

  • Optometrist
  • Prattville, AL
  • NPI 1497559298
  Medicare reassignment NPD

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1710870183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NORTHGATE BLVD",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 FREDERICK RD",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017101",
            "telephone_number": "334-679-1183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 E University Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368307729",
            "country_code": "US",
            "telephone_number": "334-539-5391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "JESSE",
        "middle_name": "ERIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-F61-TA-D76",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaelee Autumn Price
• Prime Home Health of Lee County, LLC
• Tammy Gwen Prince, COTA/L
• Amy Prudhomme, DPT
• Psychological Assessment Center, LLC
• Katie Cox Puckett, OTR/L
• Kathryn Pugh
• Joshua Nathaniel Pumroy, DO
• P. George Purves, MD
• Kori Ashlyn Quillin

• Optometrist in Opelika, AL
• Providers in Opelika, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.