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

Q: 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.

Q: What is Jamal Fox's specialty?

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

Q: 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.

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: October 25, 2026.

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

On this page

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

Open in Google Maps ↗

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 Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Jamal Fox reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jj Optical LLC

Same address

Optometrist

3819 VAILE AVE
Florissant, MO 63034

Reassigned Medicare billing, Missouri enrollment

NPI 1568755445 (314) 838-3311

Curators Of The University Of Missouri

8.3 mi

Optometrist

7840 NATURAL BRIDGE BLVD, PATIENT CARE CENTER
Saint Louis, MO 63121

Reassigned Medicare billing, Missouri enrollment
Also billed through NPI 1922190198 (Missouri)
38 clinicians in this Medicare group

NPI 1679664718 (314) 516-5131

Family Care Health Centers

19 mi

Federally Qualified Health Center (FQHC)

401 HOLLY HILLS AVE
Saint Louis, MO 63111

Reassigned Medicare billing, Missouri enrollment
55 clinicians in this Medicare group

NPI 1508867508 (314) 481-1615

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Jamal Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamal Fox reassigns Medicare benefits to 3 organizations: Jj Optical LLC (Florissant, MO), Curators Of The University Of Missouri (Saint Louis, MO) and Family Care Health Centers (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jamal Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamal Fox accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 17 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.