Active NPI
Jo Ann Jeffers, OD
- Optometrist
- North Myrtle Beach, SC
National Provider Identifier
1821058926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 848
- Practice address
- 706 Sea Mountain Hwy
North Myrtle Beach, SC 29582-2347 - Phone
- (843) 249-8440
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 848 | SC | Primary |
Addresses
Primary practice location
706 Sea Mountain Hwy
North Myrtle Beach, SC 29582-2347
Mailing address
706 Sea Mountain Hwy
North Myrtle Beach, SC 29582-2347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D08481 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allouch Optometric, PC | Optometrist | Past | Accepting new patients |
| Cherry Grove Eye Care | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- North Myrtle Beach, SC
- NPI 1114178787
-
- Optometrist
- Myrtle Beach, SC
- NPI 1073737870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227139200000",
"number": "1821058926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 SEA MOUNTAIN HWY",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295822347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 SEA MOUNTAIN HWY",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295822347",
"telephone_number": "843-249-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERS",
"first_name": "JO ANN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D08481",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.