Jessica Wilcox, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3247ATI Issued in OR

Practice address

200 SW Market St Ste L120
Portland, OR 97201-5717

Phone

(503) 223-8147

Fax

(503) 226-2370

NPI assigned

Oct 22, 2007

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 NY

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

Medicare enrollment (NPD)

Enrolled

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.

• Empire Vision Center Inc

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Empire Vision Center, Inc

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Silverton Eye Care LLC

  • Optometrist
  • Silverton, OR
  • NPI 1003215807
  NPD (past)
• Silverton Eyecare

  • Optometrist
  • Silverton, OR
  • NPI 1336570423
  NPD (past)

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1730378183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW MARKET ST STE L120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015717",
            "telephone_number": "503-223-8147",
            "fax_number": "503-226-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW MARKET ST STE L120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015717",
            "telephone_number": "503-223-8147",
            "fax_number": "503-226-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "JESSICA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3247ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Forrest Wilburn, L.AC.
• Amelia J Wilcox, PH.D.
• Aniya Kay Wilcox
• Georgia Gayle Wilcox, PSYD
• Jennifer Wilcox
• Kimberly Dean Wilcox, MA
• Natalie Wilcox
• Robin Lee Wilcox, RN
• Ruth E Wilcox, MD
• Tim I Wilcox, M.D.

• Optometrist in Portland, OR
• Providers in Portland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.