Jennifer Lynne Peterson Highley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

486 Issued in NV

Practice address

844 W Nye LN Ste 104
Carson City, NV 89703-1571

Phone

(775) 882-3937

NPI assigned

Jul 11, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Troy Humphreys ODGroup PAC ID 9638522691, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Troy Humphreys, OD

  • Optometrist
  • Reno, NV
  • NPI 1629840319
  Medicare reassignment Care Compare group NPD
• Stephen Scott Palazzolo, O.D.

  • Optometrist
  • Carson City, NV
  • NPI 1700967635
  Medicare reassignment
• Advanced Eye Wear

  • Eyewear Supplier
  • Minden, NV
  • NPI 1922333111
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1013915313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 ANTIGUA CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112717",
            "telephone_number": "775-722-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 W NYE LN STE 104",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031571",
            "telephone_number": "775-882-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON HIGHLEY",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502286",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Lane Perry, MD
• Peter N Costa, MD
• Peter N Costa, MD, LTD
• Jennifer K Peters, APRN
• Christina Marie Petersen, MS
• Kathleen Lavonne Peterson
• Kevin Mark Peterson, D.D.S.
• Jodi A Pettersen, R.D.
• Cynthia Pham
• Crystal Phares, MD

• Optometrist in Carson City, NV
• Providers in Carson City, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.