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DR. DANIEL L JONES O.D.
NPI 1407812530
Optometrist in Southern Shores, NC

Active since April 26, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
5569 N CROATAN HWY, SOUTHERN SHORES, NC 27949(252) 441-2000 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2023, Apr 10, 2017 (2 updates tracked since 2017).

About Dr. Daniel L Jones O.d. NPPES

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

DR. DANIEL L JONES O.D. (NPI 1407812530) is an individual optometrist in Southern Shores, North Carolina, licensed in North Carolina (2156) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Plymouth, and is a graduate of Southern College Of Optometry (1991).

NPPES Registry Identity

NPI1407812530
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DANIEL L JONESCredential: O.D.
Location Address5569 N CROATAN HWYSouthern Shores, NC 27949-3996
Mailing AddressPo Box 207261Dallas, TX 75320-7261 · (636) 200-4393 · Fax (636) 527-0766
Phone(252) 441-2000
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1991
Enumeration DateApril 26, 2006
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1407812530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NC · 2156✔ Licensed in OH · 4291
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.
5569 N CROATAN HWY, Southern Shores, NC 27949
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Secondary Practice Location 1

Location 1795 US Highway 64 EPlymouth, NC 27962-9314 · Phone (252) 793-2103 · Fax (252) 793-5154

Other Identifiers 1

Medicaid0866004OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC 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. Daniel L Jones 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 ID6608842463
PECOS Enrollment IDI20100526000688
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 6

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
7,645 services54 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.
669 services666 patients
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.
544 services478 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.
541 services333 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
68 services57 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.
23 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27949 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 3

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

OBX OPTIX OPTOMETRIC, PLLC
Optometrist
5569 N CROATAN HWY
KITTY HAWK, NC 27949
Dare County (252) 441-2000
EYECARECENTER OD PA
Optometrist
5569 N CROATAN HWY
KITTY HAWK, NC 27949
Dare County (252) 441-2000
NATALIE TERRYBERRY
Optometrist
5569 N CROATAN HWY
SOUTHERN SHORES, NC 27949
Dare County (252) 441-2000

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 Daniel Jones's NPI number?

The NPI number for Daniel Jones is 1407812530. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Daniel Jones located?

Daniel Jones practices at 5569 N Croatan Hwy, Southern Shores, NC 27949. The listed phone number is (252) 441-2000.

What is Daniel Jones's specialty?

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

Is Daniel Jones enrolled in Medicare?

Yes. Daniel Jones 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 Daniel Jones accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Daniel Jones 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 Daniel Jones was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.