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DR. JAMAL JAMES FOX O.D.
NPI 1124043724
Optometrist in Florissant, MO

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
3819 VAILE AVE, FLORISSANT, MO 63034(314) 838-3311 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2024, Jun 10, 2020, Apr 8, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Jamal James Fox O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMAL JAMES FOX O.D. (NPI 1124043724) is an individual optometrist in Florissant, Missouri, licensed in Missouri (2006001515) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Pennsylvania College Of Optometry (2002).

NPPES Registry Identity

NPI1124043724
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMAL JAMES FOXCredential: O.D.
Location Address3819 VAILE AVEFlorissant, MO 63034-2227
Mailing Address2037 Dorsett VlgMaryland Heights, MO 63043-2207 · (314) 205-9797 · Fax (314) 838-3311
Phone(314) 838-3311
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2002
Enumeration DateJuly 13, 2006
Last NPPES UpdateMarch 5, 20245 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1124043724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MO · 2006001515✔ Licensed in NC · 1859
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 2006001515 (MO)
3819 VAILE AVE, Florissant, MO 63034
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Secondary Practice Locations 3

Location 17840 NATURAL BRIDGE BLVD, PATIENT CARE CENTERST LOUIS, MO 63121 · Phone (314) 516-5131 · Fax (314) 516-5507
Location 2401 Holly Hills AveSaint Louis, MO 63111-2410 · Phone (314) 353-5190
Location 33940 Lindell BlvdSaint Louis, MO 63108-3204 · Phone (314) 516-5016

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jamal James Fox O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870590904
PECOS Enrollment IDI20061101000534
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
50 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services46 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
42 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services22 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
21 services18 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY HOWARD JACOB O.D.
Optometrist
3819 VAILE AVE
FLORISSANT, MO 63034
St. Louis County (314) 838-3311
JJ OPTICAL LLC
Optometrist
3819 VAILE AVE
FLORISSANT, MO 63034
St. Louis County (314) 838-3311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamal Fox's NPI number?

The NPI number for Jamal Fox is 1124043724. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Jamal Fox located?

Jamal Fox practices at 3819 Vaile Ave, Florissant, MO 63034. The listed phone number is (314) 838-3311.

What is Jamal Fox's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jamal Fox enrolled in Medicare?

Yes. Jamal Fox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jamal Fox accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 12 other insurers list Jamal Fox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jamal Fox was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.