Jennie Cho, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4787 Issued in FL

Practice address

2677 Trailridge Dr W
Lafayette, CO 80026-3167

Phone

(303) 817-8912

NPI assigned

Sep 6, 2012

Last updated

Oct 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Other, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Jeffrey D. Hixenbaugh, O.D., P.a.Group PAC ID 1850416553, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jeffrey D. Hixenbaugh, O.D., P.a.

  • Optometrist
  • Palm Beach Gardens, FL
  • NPI 1235279019
  Medicare reassignment Care Compare group NPD
• Cho Vision Group PLLC

  • Optometrist
  • Port Saint Lucie, FL
  • NPI 1003210816
  Authorized official Same address or phone

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1053660951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 DUCALE WAY",
            "address_2": "APT 209",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334188134",
            "telephone_number": "303-817-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 TRAILRIDGE DR W",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263167",
            "telephone_number": "303-817-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "JENNIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0002935",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Cheung, DO
• Hyosang Abraham Chiang, M.D.
• Peter P Chiang, M.D.
• Chinook Healthcare in (Chinook LTC)
• Chinook Healthcare Inc (Chinook Healthcare Pharmacy)
• Kara Jihea Choi, MD
• Choices in Health, PC
• Julio Tian-Fa Chong, MD
• Kwong-Hon Chow, MD, PHD
• Larry Chrisman, D.C.

• Optometrist in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.