Individual provider Active NPI

Jessica Vickery, O.D.

  • Optometrist
  • Farmville, VA
National Provider Identifier
1922630136
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003239 Issued in VA
Practice address
100 N Virginia St
Farmville, VA 23901-1537
Phone
(434) 392-8113
Fax
(434) 266-0593
NPI assigned
Feb 5, 2020
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003239 VA Primary
Corneal and Contact Management Optometrist 152WC0802X TA2694 MD

Addresses

Primary practice location

100 N Virginia St
Farmville, VA 23901-1537

Mailing address

PO Box 45923
Baltimore, MD 21297-5923
Phone (877) 969-0392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230705003021 VA Practitioner - Optometry 6608205794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David M Harman MD LLCGroup PAC ID 6305828062, 51 clinicians

Practice addresses (Care Compare)

100 N Virginia St
Farmville, VA 23901-1537
Phone (434) 392-8113

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
81.98
Promoting interoperability
99
Improvement activities
40
Cost
66.39

Merit-based Incentive Payment System (MIPS)

Final score
91.89 of 100Reported as group
Quality
90.46
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003239VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Laser and Surgery Center CurrentSince Mar 11, 2025 Accepting new patients
David M Harman MD LLC Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Daniel Kingsley O.D., P.C. Optometrist PastSince Sep 1, 2024 Accepting new patients

Locations

1600 6th Ave
Ste 119B
York, PA 17403
Phone (717) 650-6148

100 N Virginia St
Farmville, VA 23901
Phone (434) 392-8113

1825 Graves Mill Rd
Forest, VA 24551
Phone (434) 385-5650

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": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1922630136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45923",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212975923",
            "telephone_number": "877-969-0392",
            "fax_number": "434-266-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N VIRGINIA ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011537",
            "telephone_number": "434-392-8113",
            "fax_number": "434-266-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERY",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003239",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA2694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

Verify at the official NPI Registry.