Active NPI
Jonathon Hudson Jimmerson, O.D.
- Optometrist
- Brighton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4751
- Practice address
- 495 Western Ave
Brighton, MA 02135-1007 - Phone
- (617) 783-0500
- Fax
- (617) 783-0500
- NPI assigned
- Sep 11, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4751 | FL | Primary |
Addresses
Primary practice location
495 Western Ave
Brighton, MA 02135-1007
Mailing address
495 Western Ave
Brighton, MA 02135-1007
Phone (617) 783-0500
Other practice location 1
125 Newbury St
Boston, MA 02116-2973
Phone (617) 236-0105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
162 Park St
Suite 201
North Reading, MA 01864-2346
Phone (978) 276-1111
43 Foundry Ave
Suite 110
Waltham, MA 02453-8313
Phone (781) 693-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4751 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles River Community Health Inc | Current | Accepting new patients | |
| North Reading Center Eye Care, PC | Optometrist | Current | Accepting new patients |
| See Inc | Optometrist | Past | Accepting new patients |
| Postum Eye Care Inc | Optometrist | Past | Accepting new patients |
Locations
495 Western Ave
Brighton, MA 02135
162 Park St
Ste 201
North Reading, MA 01864
Phone (978) 276-1111
43 Foundry Ave
Ste 110
Waltham, MA 02453
Phone (781) 693-3800
Interoperability endpoints
- jjimmerson19696@direct.ctc.masshiway.net
Organizations & group practices 5
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.
-
- Optometrist
- North Reading, MA
- NPI 1154835114
-
- Federally Qualified Health Center (FQHC)
- Brighton, MA
- NPI 1487664884
-
- Optometrist
- North Reading, MA
- NPI 1528267200
-
- Optometrist
- Bellingham, MA
- NPI 1225116189
-
- Optometrist
- Boston, MA
- NPI 1780807693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1972853554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 WESTERN AVE",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021351007",
"telephone_number": "617-783-0500",
"fax_number": "617-562-1398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 WESTERN AVE",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021351007",
"telephone_number": "617-783-0500",
"fax_number": "617-783-0500"
}
],
"practiceLocations": [
{
"address_1": "125 Newbury St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021162973",
"country_code": "US",
"telephone_number": "617-236-0105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JIMMERSON",
"first_name": "JONATHON",
"middle_name": "HUDSON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-11",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "4751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.