Norma J Jesse, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4202 T-178 Issued in OH

Practice address

6621 Center Rd
Valley City, OH 44280-9748

Phone

(330) 483-4035

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brendel Eye Care LLCGroup PAC ID 4789075433, 2 clinicians

Madison Eye Care of Port Clinton LLCGroup PAC ID 3870957921, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Brendel Eye Care LLC

  • Optometrist
  • Medina, OH
  • NPI 1639831969
  Medicare reassignment Care Compare group NPD
• Madison Eye Care of Port Clinton LLC

  • Optometrist
  • Port Clinton, OH
  • NPI 1427748243
  Medicare reassignment Care Compare group NPD
• Sue E. Van Dootingh OD

  • Durable Medical Equipment & Medical Supplies
  • Port Clinton, OH
  • NPI 1780853317
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1982786604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 CENTER RD",
            "city": "VALLEY CITY",
            "state": "OH",
            "postal_code": "442809748",
            "telephone_number": "330-483-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 CENTER RD",
            "city": "VALLEY CITY",
            "state": "OH",
            "postal_code": "442809748",
            "telephone_number": "330-483-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSE",
        "first_name": "NORMA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4202 T-178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IDENTIFIER",
            "identifier": "000000137693",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE IDENTIFIER",
            "identifier": "54447",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Foard
• Neil Frances Grabenstetter, M.D.
• Lisa Marie Hennings
• Robin Gail Hergatt, LPN
• Heather Lynn Hopkins, LSW
• Erin Leneghan, MS, RD, LD
• Liljana House
• Liverpool Township Trustees
• Marilyn Maureen Lucik
• Lindsay Joy Lupton, NP-C, CWS

• Optometrist in Valley City, OH
• Providers in Valley City, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.