Jennifer C. Mallinger, O.D. CHARTERED

Primary specialty

OptometristTaxonomy code 152W00000X

License

328 Issued in NV

Practice address

1930 Village Center Cir Ste 10
Las Vegas, NV 89134-6238

Phone

(702) 240-2121

Fax

(702) 240-5858

NPI assigned

Jun 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Southern California College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennifer C. Mallinger, O.D., CharteredGroup PAC ID 5092607853, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Jennifer C. Mallinger O.D. Chartered

  • Optometrist
  • Las Vegas, NV
  • NPI 1275752347
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1083659254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIRCLE",
            "address_2": "STE. 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89134",
            "telephone_number": "702-240-2121",
            "fax_number": "702-240-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 VILLAGE CENTER CIR STE 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346238",
            "telephone_number": "702-240-2121",
            "fax_number": "702-240-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLINGER",
        "first_name": "JENNIFER",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D. CHARTERED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aishwarya Bharathi Mallela
• Nirmala Mallela, RPH
• Alfreda I. Maller, M.D., PHD
• Breanna Mallett-Case
• Ronobir Ranjan Mallick, DO
• Lisa Annette Mallinger, LICENSED MFT
• Ann Marie Mallory, APRN, FNP, PMHNP
• Gwendolyn Mallory, QMHA
• Louis Joseph Mallory IV
• Michelle Mallory, RD

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.