JESSICA KRISTINE PUTNAM (O.D.) – Optometrist, NPI 1184971087

JESSICA KRISTINE PUTNAM (O.D.) is a healthcare provider. based in Dallas, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1918 (KS). The NPI Number for JESSICA KRISTINE PUTNAM (O.D.) is 1184971087

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA KRISTINE PUTNAM (O.D.)
NPI
1184971087
Phone
(636) 200-4393
Address
PO BOX 207293
Enumeration Date
9 August 2012
Last Update Date
18 October 2023

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
6203437120
Graduation Year
2012 (14 years ago)
PAC ID
6204084056
Group Practice PAC ID
2062494420
Professional Enrollment ID
I20120919000793
Address ID
KS668014006EM512XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

532 OPTOMETRY in KS

Provider Addresses for JESSICA KRISTINE PUTNAM (O.D.)

  • PO BOX 207293

    DALLAS, TX 753207293

    Phone: (636) 200-4393

    Fax: (636) 527-0766

    Type: Mailing

  • 2800 SW WANAMAKER RD

    SUITE 192

    TOPEKA, KS 666144293

    Phone: (785) 272-0707

    Fax: (785) 438-6777

    Type: Mailing

  • 705 BAPTISTE DR

    STE 200

    PAOLA, KS 660711336

    Phone: (913) 294-4342

    Fax: (913) 294-3309

    Type: Location

  • 2600 Iowa St

    Lawrence, KS 660464152

    Phone: (785) 842-6999

    Fax: (785) 842-1291

    Type: Location

  • 751 N Mur Len Rd Ste A

    Olathe, KS 660625555

    Phone: (913) 764-2020

    Fax: (913) 768-4422

    Type: Location

  • 512 Commercial St

    Emporia, KS 668014006

    Phone: (620) 343-7120

    Fax: (620) 343-2038

    Type: Location

  • 313 W Main St

    Council Grove, KS 668461706

    Phone: (620) 412-4150

    Fax: (620) 412-4151

    Type: Location

  • 15311 W 119th St

    Olathe, KS 660621074

    Phone: (913) 780-3200

    Fax: (913) 780-6770

    Type: Location

  • 316 S Main St

    Ottawa, KS 660672332

    Phone: (785) 242-2020

    Fax: (785) 242-2335

    Type: Location

  • 2525 Market Pl Ste C

    Salina, KS 674017690

    Phone: (785) 825-0271

    Fax: (785) 825-0273

    Type: Location

  • 800 N 4th St Ste 102

    Burlington, KS 668392618

    Phone: (620) 364-2134

    Fax: (620) 364-5477

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $285.

Total Amount is formed as General ($285) + Research ($0) + Ownership ($0) = $285.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: CooperVision Inc. ($168).

Total Amount

$285

General + Research + Ownership

Payments

5

Total payment records

General Amount

$285

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-09-19

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
I20120919000793IOptometryKSTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system122122$0
92250Photography of the retina5453$0
99213Established patient office or other outpatient visit, 20-29 minutes4033$0
92083Exam of visual field with extended testing2620$0
92133Imaging of optic nerve2120$0
View full utilization report →

Insurance plans in this area (ZIP 75320)

Loading plans...

Provider's Procedures

JESSICA KRISTINE PUTNAM (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYKS92083Measurement of field of vision during daylight conditions2727
OPTOMETRYKS92134Diagnostic imaging of retina4132

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: 2062494420View full group profile
NameSpecialtyState
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YKS
O P T O M E T R YMO
-KS
O P T O M E T R YKS
O P T O M E T R YWA
O P T O M E T R YKS

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for JESSICA KRISTINE PUTNAM (O.D.) in U.S. healthcare records?
The official identifier for JESSICA KRISTINE PUTNAM (O.D.) is NPI 1184971087.
Active or inactive — what applies to JESSICA KRISTINE PUTNAM (O.D.)?
You should see JESSICA KRISTINE PUTNAM (O.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to JESSICA KRISTINE PUTNAM (O.D.)?
JESSICA KRISTINE PUTNAM (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with JESSICA KRISTINE PUTNAM (O.D.)?
Directory geography for JESSICA KRISTINE PUTNAM (O.D.) centers on Dallas, Texas.
What does 11 location(s) imply?
11 practice locations appear in the available data.

Similar Providers

PO BOX 207170
NPI: 1982607727
178 Highway 35
NPI: 1699778316
16 EMERSON DR
NPI: 1104829795
2204 Highway 35 Ste 9
NPI: 1265435713
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
NPI: 1700889045
West Davis Street, Dallas, TX, Dallas, Dallas County, Texas, 75211, United States
NPI: 1427050715
6801 Pearl Rd
NPI: 1689676645
Preston Road, Dallas, TX, Dallas, Dallas County, Texas, 75225, United States
NPI: 1932101995
6311, Carmel Road, Carmel, Charlotte, Mecklenburg County, North Carolina, 28226, United States
NPI: 1043214844