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

Dr. Jack Owens Sipperley, MD

Individual provider Ophthalmology Physician · NPI 1235130402

Dr. Jack Owens Sipperley, MD is an Ophthalmology in Phoenix, Arizona. Graduated from University of Miami, Lm Miller School of Medicine in 1971, 55 years ago. Practices with Barnet Dulaney Perkins Eye Center, PC, a 103-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
55
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
AZ
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4800 N 22nd St
Phoenix, AZ 85016-4701
Phone: (602) 955-1000
Fax: (602) 508-4830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence 16167 (AZ)
Ophthalmology Physician Taxonomy 207W00000X · Licence 16167 (AZ)

Record details

NPI number1235130402
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESMay 7, 2019
Mailing address4800 N 22nd St, Phoenix, AZ 85016-4701

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 1971 (55 years in practice)
Group practice Barnet Dulaney Perkins Eye Center, Pc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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