Individual provider Active NPI

Jessica Lyn Pugh, OD

  • Optometrist
  • Jeffersonville, IN
National Provider Identifier
1881726081
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003238A Issued in IN
Practice address
302 W 14TH St Ste 100
Jeffersonville, IN 47130-3751
Phone
(812) 284-0660
Fax
(812) 284-3822
NPI assigned
Mar 12, 2007
Last updated
Oct 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 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 18003238A IN Primary

Addresses

Primary practice location

302 W 14TH St Ste 100
Jeffersonville, IN 47130-3751

Mailing address

302 W 14TH St Ste 100
Jeffersonville, IN 47130-3751
Phone (812) 284-0660

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.pugh.od@direct.have2020.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070705000260 IN Practitioner - Optometry 5597721266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1919 State St
Suite 140
New Albany, IN 47150-6803
Phone (812) 944-2099

Merit-based Incentive Payment System (MIPS)

Final score
91.8 of 100Reported as group
Quality
93.82
Promoting interoperability
100
Improvement activities
40
Cost
78.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1283SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Southern Indiana PC Optometrist CurrentSince Jul 1, 2007 Accepting new patients
Eye Associates of Southern Indiana PC Optometrist CurrentSince Jul 1, 2007 Accepting new patients
Eye Associates of Southern Indiana PC Optometrist Past Accepting new patients

Locations

302 W 14th St
Jeffersonvlle, IN 47130
Phone (502) 426-0307

302 W 14th St
Ste 100
Jeffersonvlle, IN 47130
Phone (812) 948-4680

302 W 14th St
Ste 100A
Jeffersonvlle, IN 47130
Phone (812) 590-6157

1919 State St
Ste 140
New Albany, IN 47150
Phone (812) 280-2162

Interoperability endpoints

  • Direct secure messaging: jessica.pugh.od@direct.have2020.nextgenshare.com

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1881726081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 14TH ST STE 100",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303751",
            "telephone_number": "812-284-0660",
            "fax_number": "812-284-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 14TH ST STE 100",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303751",
            "telephone_number": "812-284-0660",
            "fax_number": "812-284-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGH",
        "first_name": "JESSICA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003238A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.pugh.od@direct.have2020.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Provider Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Provider Direct Email Address",
            "address_1": "302 W 14th St Ste 100",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.