Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Jeanes

Individual provider Optometrist · NPI 1043909229

Derek Jeanes is an Optometry in Prescott, Arizona. Qualified in 2023, 3 years ago. Practices with Eye Doctors of Arizona PLLC, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

3192 Willow Creek Rd
Prescott, AZ 86301-6610
Phone: (928) 445-1234
Fax: (602) 508-4830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 399 W Palomino Rd, Chino Valley, AZ 86323-5648 — (928) 636-5504
  • 3223 N Windsong Dr, Prescott Valley, AZ 86314-1222 — (928) 775-6121

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT-002719 (AZ)

Record details

NPI number1043909229
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2023
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Eye Doctors Of Arizona Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Prescott