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DR. JESSICA WHITLEY OD
NPI 1790633717
Optometrist in Lancaster, MA

Active since March 17, 2026PECOS EnrolledAccepts Medicare Assignment
479 OLD UNION TPKE, LANCASTER, MA 01523(978) 537-3900(978) 537-6030 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2026, May 28, 2026, Mar 17, 2026 (3 updates tracked since 2026).

About Dr. Jessica Whitley Od NPPES

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

DR. JESSICA WHITLEY OD (NPI 1790633717) is an individual optometrist in Lancaster, Massachusetts, licensed in Massachusetts (OPT8397) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1790633717
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JESSICA WHITLEYCredential: OD
Location Address479 OLD UNION TPKELancaster, MA 01523-3029
Mailing Address479 Old Union TpkeLancaster, MA 01523-3029 · (978) 537-3900 · Fax (978) 537-6030
Phone(978) 537-3900
Fax(978) 537-6030
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 17, 2026
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1790633717 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 MA · OPT8397
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.
479 OLD UNION TPKE, Lancaster, MA 01523
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Secondary Practice Locations 4

Location 1255 Park Ave Ste 606Worcester, MA 01609-1930 · Phone (508) 753-1032 · Fax (508) 755-5705
Location 2100 Powdermill RdActon, MA 01720-5932 · Phone (978) 897-7212 · Fax (978) 461-0345
Location 3413 Main StAthol, MA 01331-1842 · Phone (978) 249-4209 · Fax (978) 249-4102
Location 474 Main StGardner, MA 01440-2634 · Phone (978) 632-3930 · Fax (978) 632-3158

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Jessica Whitley 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 ID8729550090
PECOS Enrollment IDI20260617003341
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 Reassignment

Medicare enrollment records show Jessica Whitley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

D'ambrosio Eye Care, Inc.
Same address
Ophthalmology
479 OLD UNION TPKE
Lancaster, MA 01523
  • Reassigned Medicare billing, Massachusetts enrollment
  • 15 clinicians in this Medicare group
NPI 1922020874 (978) 537-3900

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01523 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 20

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

JESSICA JONES
Technician/Technologist (Optician)
479 OLD UNION TPKE
LANCASTER, MA 01523
Worcester County (978) 537-3900
STEVEN M BUFFONE
Technician/Technologist (Optician)
479 OLD UNION TPKE
LANCASTER, MA 01523
Worcester County (978) 537-3900
ELITE BOR-SHAVIT MD
Ophthalmology (Retina Specialist)
479 OLD UNION TPKE
LANCASTER, MA 01523
Worcester County (978) 537-3900
JUDY BAVONGKHOUN OD
Optometrist
479 OLD UNION TPKE
LANCASTER, MA 01523
Worcester County (978) 537-3900
MERITZA RONDON KLUGE O.D.
Optometrist
479 OLD UNION TPKE
LANCASTER, MA 01523
Worcester County (978) 537-3900
MICHAEL M FU O.D.
Optometrist
479 OLD UNION TPKE
LANCASTER, MA 01523
Worcester County (978) 537-3900
DR. ANNA KRAWIEC OD
Optometrist
479 OLD UNION TPKE
LANCASTER, MA 01523
Worcester County (800) 325-3937
DR. KUN NANCY WU OD
Optometrist
479 OLD UNION TPKE
LANCASTER, MA 01523
Worcester County (978) 537-3900

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 Whitley's NPI number?

The NPI number for Jessica Whitley is 1790633717. It was assigned to this individual provider in the NPPES registry on March 17, 2026.

Where is Jessica Whitley located?

Jessica Whitley practices at 479 Old Union Tpke, Lancaster, MA 01523. The listed phone number is (978) 537-3900.

What is Jessica Whitley's specialty?

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

Is Jessica Whitley enrolled in Medicare?

Yes. Jessica Whitley 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 organization bills Medicare for Jessica Whitley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Whitley reassigns Medicare benefits to D'ambrosio Eye Care, Inc. (Lancaster, MA). The 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 Jessica Whitley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Whitley accept?

Health plans from Providence Health Plan list Jessica Whitley 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 Jessica Whitley was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.