Individual provider Active NPI

Jessica O'Keefe Pierce, OD

  • Optometrist
  • Valrico, FL
National Provider Identifier
1952961112
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5704 Issued in FL
Practice address
2615 E State Road 60
Valrico, FL 33594-3800
Phone
(813) 662-2200
Fax
(813) 662-2140
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5704 FL Primary

Addresses

Primary practice location

2615 E State Road 60
Valrico, FL 33594-3800

Mailing address

2615 E State Road 60
Valrico, FL 33594-3800
Phone (813) 662-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200114001275 FL Practitioner - Optometry 2668807025 Reassigns benefits to 1 organization
Practice locations: Brandon, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Dec 15, 2022 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Dec 15, 2022 Accepting new patients
Maximods LLC Optometrist CurrentSince Apr 6, 2023 Accepting new patients
Maxim-Eyes Optical, Inc Optometrist PastSince Apr 6, 2023 Accepting new patients

Locations

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

2615 E State Road 60
Valrico, FL 33594
Phone (813) 653-9661

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1952961112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E STATE ROAD 60",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943800",
            "telephone_number": "813-662-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E STATE ROAD 60",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335943800",
            "telephone_number": "813-662-2200",
            "fax_number": "813-662-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "JESSICA",
        "middle_name": "O'KEEFE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valrico, FL

Sources for this page

Verify at the official NPI Registry.