DR. JESSICA JOY HUMPHREY OD
NPI 1265300511
Optometrist in Manchester, MI

Q: What is Jessica Humphrey's NPI number?

The NPI number for Jessica Humphrey is 1265300511. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Q: What is Jessica Humphrey'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 Jessica Humphrey was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 October 28, 2025PECOS EnrolledAccepts Medicare Assignment

110 RIVERSIDE DR, MANCHESTER, MI 48158(734) 428-2020(734) 428-8955 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jessica Joy Humphrey Od NPPES

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

DR. JESSICA JOY HUMPHREY OD (NPI 1265300511) is an individual optometrist in Manchester, Michigan, licensed in Michigan (4901005920) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1265300511

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. JESSICA JOY HUMPHREYCredential: OD

Location Address110 RIVERSIDE DRManchester, MI 48158-9776

Mailing Address110 Riverside DrManchester, MI 48158-9776 · (734) 428-2020 · Fax (734) 428-8955

Phone(734) 428-2020

Fax(734) 428-8955

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 28, 2025

Last NPPES UpdateFebruary 13, 2026

NPPES CertifiedFebruary 13, 2026

✔ NPI 1265300511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MI · 4901005920

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.

110 RIVERSIDE DR, Manchester, MI 48158

Open in Google Maps ↗

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. Jessica Joy Humphrey Od 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 ID2860982816

PECOS Enrollment IDI20251107000492

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48158 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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.

MANCHESTER EYE CARE CENTER, P.C.

Clinic/Center

110 RIVERSIDE DR
MANCHESTER, MI 48158

Washtenaw County (734) 428-2020

DR. JULIE A MARVIN-MANDERS O.D.

Optometrist

110 RIVERSIDE DR
MANCHESTER, MI 48158

Washtenaw County (734) 428-2020

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 Jessica Humphrey's NPI number?

The NPI number for Jessica Humphrey is 1265300511. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Jessica Humphrey located?

Jessica Humphrey practices at 110 Riverside Dr, Manchester, MI 48158. The listed phone number is (734) 428-2020.

What is Jessica Humphrey's specialty?

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

Is Jessica Humphrey enrolled in Medicare?

Yes. Jessica Humphrey 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.

When was this NPI record last updated?

The NPPES record for Jessica Humphrey was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.