Jennifer Williams-McDermed, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

OPC 4185 Issued in FL

Practice address

12301 Lake Underhill Rd
Suite 236
Orlando, FL 32828-4508

Phone

(407) 277-5729

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Jenna McDermed Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Visual Health & Learning Center

  • Vision Therapy Optometrist
  • Orlando, FL
  • NPI 1043561350
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1104933258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 LAKE UNDERHILL RD",
            "address_2": "SUITE 236",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284508",
            "telephone_number": "407-277-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 LAKE UNDERHILL RD",
            "address_2": "SUITE 236",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284508",
            "telephone_number": "407-277-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-MCDERMED",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC 4185",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "FL",
            "license": "OPC 4185",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "FL",
            "license": "OPC 4185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "MCDERMED",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Williams Chiropractic Clinic, LLC
• Williams Family Practice PLLC
• Williams Giedd & Associates OD PA
• Williams Loving Care
• Roniece Anita Williams Weaver, MS, RD, LD
• Quanesha Williams-Mobley, PA-C
• Alecki Williams-Nembhard
• Susan Williams-Riley, RN
• Alaina Lee Williams, FNP-C
• Alicia Williams

• Vision Therapy Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Vision Therapy Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.