Jared Acker Grant, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

923 Issued in MS

Practice address

5219 Highway 51 N
Senatobia, MS 38668-1719

Phone

(662) 612-6016

Fax

(662) 612-6031

NPI assigned

Jul 15, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS, WI, VA, AL, DC5 enrollments

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 5

Specialty

Optometry

Education

Southern College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Eyecare Associates, Inc.

  • Eyewear Supplier
  • Birmingham, AL
  • NPI 1710012877

  AL, Optometrist

  Medicare reassignment NPD
• Lynchburg Vision Associates PC

  • Optometrist
  • Lynchburg, VA
  • NPI 1922311760
  Medicare reassignment NPD
• Myeyedr Optometry of Alabama LLC

  • Optometrist
  • Tuscaloosa, AL
  • NPI 1770093551

  AL, Optometrist

  Medicare reassignment NPD
• Myeyedr Optometry of Virginia PLLC

  • Optometrist
  • Ashburn, VA
  • NPI 1174933691
  Medicare reassignment NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1659937159

  Optometrist, WI

  Medicare reassignment NPD
• Hull & Williquette, LTD

  • Optician
  • Rhinelander, WI
  • NPI 1982772547

  WI

  Medicare reassignment
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • Falls Church, VA
  • NPI 1710343744

  DC

  Medicare reassignment
• Eyecare Associates, Inc.

  • Optometrist
  • Pelham, AL
  • NPI 1023745478
  NPD
• Eyecare Associates, Inc.

  • Optometrist
  • Montgomery, AL
  • NPI 1871475038
  NPD
• Myeyedr Optometry of Alabama LLC

  • Optometrist
  • Hoover, AL
  • NPI 1518477397
  NPD
• Myeyedr Optometry of Alabama, LLC

  • Optometrist
  • Cullman, AL
  • NPI 1104488055
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • North Chesterfield, VA
  • NPI 1932075983
  NPD

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1821472267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 HIGHWAY 51 N",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386681719",
            "telephone_number": "662-612-6016",
            "fax_number": "662-612-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 HIGHWAY 51 N",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386681719",
            "telephone_number": "662-612-6016",
            "fax_number": "662-612-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "JARED",
        "middle_name": "ACKER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-295-TA-C49",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003092",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3847-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04774359",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Golden-Simmons, FNP
• Glenn Goldring, OD
• Suzanne Michelle Goode, M.S., C.R.C.
• Kelly Denise Grace, FNP-C
• Grant Eye Care, LLC
• James Gregory Graves, D.M.D.
• Braden Greer
• Jeremy Harville, ATC
• Kenneth Wayne Hawkins Jr., MSN, FNP
• Lara J Hayes, M.ED., LPC

• Optometrist in Senatobia, MS
• Providers in Senatobia, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.