Individual provider Active NPI

Jessica Ann Lindsey, OD

  • Optometrist
  • Mobile, AL
National Provider Identifier
1811593510
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-E69-TA-C10 Issued in AL
Practice address
3954 Airport Blvd
Mobile, AL 36608-2224
Phone
(251) 343-4700
NPI assigned
Dec 8, 2020
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-E69-TA-C10 AL Primary

Addresses

Primary practice location

3954 Airport Blvd
Mobile, AL 36608-2224

Mailing address

1528 Cresthill Rd
Birmingham, AL 35213-1110
Phone (205) 746-0777

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250227000114 AL Practitioner - Optometry 9739609272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Shore Eye Care, PCGroup PAC ID 7113944901, 4 clinicians

Practice addresses (Care Compare)

118 Lottie LN
Fairhope, AL 36532-2995
Phone (251) 928-4076

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-E69-TA-C10ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Eye Care, PC Optometrist CurrentSince Jan 12, 2025 Accepting new patients
The Lens Doc, LLC Optometrist PastSince Dec 31, 2023 Accepting new patients
National Vision, Inc. PastSince Dec 13, 2020 Accepting new patients

Locations

118 Lottie Ln
Fairhope, AL 36532
Phone (251) 928-4076

Organizations & group practices 3

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": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1811593510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 CRESTHILL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131110",
            "telephone_number": "205-746-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3954 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366082224",
            "telephone_number": "251-343-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E69-TA-C10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.