Neal S Jessup, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0601001553 Issued in VA

Practice address

2205 Orange Ave NE
Roanoke, VA 24012-8305

Phone

(540) 343-2197

Fax

(540) 343-3575

NPI assigned

Aug 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Neal S Jessup Optometrist PC 2 clinicians

Blink Optometry PC 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Dr Neal S Jessup Optometrist PC

  • Optometrist
  • Roanoke, VA
  • NPI 1437206125
  Medicare reassignment Care Compare group NPD Authorized official
• Blink Optometry PC

  • Optometrist
  • Roanoke, VA
  • NPI 1376352252
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1972504645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241790488",
            "telephone_number": "540-343-2197",
            "fax_number": "540-343-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 ORANGE AVE NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240128305",
            "telephone_number": "540-343-2197",
            "fax_number": "540-343-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSUP",
        "first_name": "NEAL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010220131",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Jensen
• Sae Jeong
• Brooke Alston Jernigan, LCSW
• Sarah Jespersen
• Mary D Jessee, PT
• Robert Paul Jessup, L.P.C.
• Linda Dawn Jester, LPTA
• Ann Frances Jewell, MS, CGC
• Jim Pritchard, Inc.
• Felix Qiaochu Jin, MD, PHD

• All providers in Roanoke, VA
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.