Individual provider Active NPI

Jessica Carson Jones, O.D.

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1922395854
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2012013574 Issued in MO
Practice address
9911 Kennerly Rd
Suite a
Saint Louis, MO 63128-2700
Phone
(314) 842-2020
NPI assigned
Jun 29, 2011
Last updated
Nov 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2686 OK
Optometrist 152W00000X 2012013574 MO Primary

Addresses

Primary practice location

9911 Kennerly Rd
Suite a
Saint Louis, MO 63128-2700

Mailing address

9111 Kennerly Road
Ste a
Saint Louis, MO 63128
Phone (314) 842-2020

Other identifiers 1

IdentifierTypeStateIssuer
1922395854MedicaidMO

Other names 1

  • Dr. Jessica Ann Carson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20121029000429 MO Practitioner - Optometry 0446422489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tekwani Vision Center IncGroup PAC ID 3870683071, 7 clinicians

Practice addresses (Care Compare)

522 N New Ballas Rd
Suite 136
Creve Coeur, MO 63141-6820
Phone (314) 942-2020

9911 Kennerly Rd
Saint Louis, MO 63128-2700

Merit-based Incentive Payment System (MIPS)

Final score
86.64 of 100Reported as group
Quality
95.62
Promoting interoperability
100
Improvement activities
40
Cost
59.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012013574MOMDOptometrist
2686OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tekwani Vision Center ,Inc CurrentSince Aug 15, 2012 Accepting new patients
Northeastern State University College of Optometry Optometrist PastSince Jul 1, 2025 Accepting new patients
Clarkson Eyecare Optometrist Past Accepting new patients

Locations

9911 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 842-2020

9911 Kennerly Rd
Ste A
Saint Louis, MO 63128
Phone (314) 842-2020

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/dw32ax89
  • Direct secure messaging: jessicajones@direct-address.net

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383264000000",
    "number": "1922395854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 KENNERLY ROAD",
            "address_2": "STE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-842-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 KENNERLY RD",
            "address_2": "SUITE A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282700",
            "telephone_number": "314-842-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JESSICA",
        "middle_name": "CARSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2013-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2686",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2012013574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922395854",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CARSON",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.