LESLIE RENEE JONES (OD) – Optometrist, NPI 1104635390

LESLIE RENEE JONES (OD) is a healthcare provider. based in Memphis, Tennessee. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1103 (MS). The NPI Number for LESLIE RENEE JONES (OD) is 1104635390

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
LESLIE RENEE JONES (OD)
NPI
1104635390
Phone
Not provided
Address
3 LYDGATE AVE
Enumeration Date
2 January 2025
Last Update Date
2 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888403032
Graduation Year
2023 (3 years ago)
PAC ID
8022538115
Group Practice PAC ID
8820256001
Professional Enrollment ID
I20250219002731
Address ID
MS388040952TU837XXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

957 OPTOMETRY in TN

Provider Addresses for LESLIE RENEE JONES (OD)

  • 3 LYDGATE AVE

    MEMPHIS, TN 381094523

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250219002731IOptometryMSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 38109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820256001View full group profile
NameSpecialtyState
O P T O M E T R YCO
-NE
O P T O M E T R YNE
O P T O M E T R YCO
O P T O M E T R YUT
O P T O M E T R YOR
O P T O M E T R YCO
-MI

Reviews

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Frequently asked questions

Where can patients find LESLIE RENEE JONES (OD)'s NPI?
You can confirm LESLIE RENEE JONES (OD) with NPI 1104635390; it appears in the national provider directory.
Is LESLIE RENEE JONES (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does LESLIE RENEE JONES (OD) treat or focus on?
Patients typically see LESLIE RENEE JONES (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place LESLIE RENEE JONES (OD)?
The snapshot lists Memphis, Tennessee for LESLIE RENEE JONES (OD); download NPPES for the complete set.
What if Memphis, Tennessee seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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