Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164482956 Individual Practitioner Male Practitioner

Dr. Jamie Dale Cornett , OD

Optometrist • Maxwell Afb, AL

Professional Overview & Biography Verified Profile Summary

Dr. Jamie Cornett, OD is a registered healthcare professional specializing in Optometrist in Maxwell Afb, AL. Practice services are available at 42D MEDICAL GROUP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

42d Medical Group
300 S. Twining St. Bldg. 760

Maxwell Afb, AL 36113

Telephone 3349533368
Fax 3349538607

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Maxwell Afb, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Maxwell Afb, AL (907 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-29
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IN 18003253A

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License KS 1679

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Optometry License
1679 (KS)
Commercial Insurance / Payer ID Optometry License
18003253A (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kristell Michael , APN

Nurse Practitioner - Family

NPI 1003004144

Advanced Practice Nurse

NPI 1003191875

Doctor of Optometry

Dr. Ross Canup , MD

Family Medicine

NPI 1013367333

Doctor of Medicine (M.D.)

Francetta Childers , CRNP

Nurse Practitioner - Women's Health

NPI 1043499502

Certified Registered Nurse Practitioner

NPI 1083604110

Doctor of Medicine (M.D.)

Sara Bagorio , RDH

Dental Hygienist

NPI 1093530206

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 26, 2021

Registered at 42D MEDICAL GROUP, 300 S. TWINING ST. BLDG. 760, MAXWELL AFB, AL 36113 (Tel: 3349533368)

📍
Updated Business Mailing Address July 26, 2021

Registered at 42D MEDICAL GROUP, 300 S. TWINING ST. BLDG. 760, MAXWELL AFB, AL 36113 (Tel: 3349533368)

📍
Updated Practice Location April 20, 2018

Registered at 1100 WILFORD HALL LOOP BLDG 4554, JBSA LACKLAND, TX 782365638 (Tel: 2102926225)

NPI Profile Active October 27, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2007

Registered at 5 MDOS/SGOAE, 10 MISSILE AVENUE, MINOT AFB, ND 587055024 (Tel: 7017235480)

📍
Updated Business Mailing Address October 27, 2007

Registered at 10 MISSILE AVE, MINOT AFB, ND 58705 (Tel: 7017235480)

👤
Provider Name / Credentials Updated October 27, 2007

Recorded as JAMIE CORNETT, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2007

Optometrist (License #18003253A in IN)

🟢
Initial NPI Registration & Enumeration March 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164482956
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2006
Last Update: July 26, 2021
Sole Proprietor: No

Mailing Address

42d Medical Group, 300 S. Twining St. Bldg. 760

Maxwell Afb, AL 36113

Phone: 3349533368

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.