Individual provider Active NPI

Colleen Mary Rae-Jenkins, O.D.

  • Optometrist
  • Red Lion, PA
National Provider Identifier
1013204619
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002464 Issued in PA
Practice address
3094 Cape Horn Rd
Red Lion, PA 17356-9068
Phone
(717) 246-3041
Fax
(717) 244-5855
NPI assigned
Jul 1, 2011
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002464 PA Primary

Addresses

Primary practice location

3094 Cape Horn Rd
Red Lion, PA 17356-9068

Mailing address

3094 Cape Horn Rd
Red Lion, PA 17356-9068
Phone (717) 246-3041

Other practice location 1

1 N Main St
Shrewsbury, PA 17361-1321
Phone (717) 235-1873

Other practice location 2

116 S George St
York, PA 17401-1474
Phone (717) 854-8617

Other practice location 3

2321 E Market St
York, PA 17402-2860
Phone (717) 755-1828

Other names 1

  • Colleen Rae Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000163 PA Practitioner - Optometry 3678742509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Eye Center PCGroup PAC ID 2163619743, 2 clinicians
Family First Health CorporationGroup PAC ID 8022910207, 23 clinicians
Sans Pareil EyecareGroup PAC ID 7012172869, 17 clinicians

Practice addresses (Care Compare)

1 N Main St
Shrewsbury, PA 17361-1321
Phone (717) 235-1873

116 S George St
York, PA 17401-1474
Phone (717) 845-8617

234 Rosedale Dr
Manchester, PA 17345-1023
Phone (717) 266-5661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002464PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sans Pareil Eyecare Optometrist CurrentSince Nov 1, 2024 Accepting new patients
Family First Health Corporation CurrentSince Jan 1, 2026 Accepting new patients
Premier Eye Center PC Optometrist CurrentSince Mar 3, 2026 Accepting new patients
Family First Health Corporation CurrentSince Jan 1, 2026 Accepting new patients
James P. Tuttle, OD Optometrist PastSince Nov 1, 2024 Accepting new patients
York Eye Associates Inc. Optometrist PastSince Nov 1, 2024 Accepting new patients

Locations

234 Rosedale Dr
Manchester, PA 17345
Phone (717) 266-5661

3094 Cape Horn Rd
Red Lion, PA 17356
Phone (717) 246-3041

1 N Main St
Shrewsbury, PA 17361
Phone (717) 235-1873

116 S George St
York, PA 17401
Phone (717) 845-8617

2321 E Market St
York, PA 17402
Phone (717) 455-1828

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1013204619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3094 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569068",
            "telephone_number": "717-246-3041",
            "fax_number": "717-244-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569068",
            "telephone_number": "717-246-3041",
            "fax_number": "717-244-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 N Main St",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "PA",
            "postal_code": "173611321",
            "country_code": "US",
            "telephone_number": "717-235-1873",
            "fax_number": "717-235-2087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174011474",
            "country_code": "US",
            "telephone_number": "717-854-8617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2321 E Market St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174022860",
            "country_code": "US",
            "telephone_number": "717-755-1828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAE-JENKINS",
        "first_name": "COLLEEN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Red Lion, PA

Sources for this page

Verify at the official NPI Registry.