Jessica Cieszkowski, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-F30-TA-D21 Issued in AL

Practice address

601 Medical Center Pkwy
Boaz, AL 35957-5937

Phone

(256) 840-2021

NPI assigned

Dec 27, 2023

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

• Advantage Dental Oral Health and Vision Center of Alabama, P.C.

  dba Sarrell Regional Eye Center

  • Optometrist
  • Boaz, AL
  • NPI 1972746865
  NPD
• Advantage Dental Oral Health and Vision Center of Alabama, P.C.

  • Pediatric Dentistry
  • Boaz, AL
  • NPI 1851536817
  NPD (past)

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1730958026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 W END AVE STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036805",
            "telephone_number": "629-999-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MEDICAL CENTER PKWY",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575937",
            "telephone_number": "256-840-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESZKOWSKI",
        "first_name": "JESSICA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-27",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-F30-TA-D21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Casey, NP
• Central Alabama Emergency Physicians, LLC
• Carlos Chacon, CRNP
• Mark H Christensen, M.D.
• Andrew Russell Christie, D.O.
• City of Boaz (Boaz Fire & Rescue)
• Hollie Claburn, CRNP
• Victoria Clay, RBT
• James Andrew Clement Jr., M.D.
• Marion Stephen Clevenger

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.