Individual provider Active NPI

Jennifer K Howard, O.D.

  • Optometrist
  • Dexter, MO
National Provider Identifier
1114189347
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2008017078 Issued in MO
Practice address
223 N Walnut St
Dexter, MO 63841-1767
Phone
(573) 924-5393
NPI assigned
Jun 29, 2008
Last updated
Mar 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2008017078 MO Primary

Addresses

Primary practice location

223 N Walnut St
Dexter, MO 63841-1767

Mailing address

223 N Walnut St
Dexter, MO 63841-1767
Phone (573) 924-5393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20080819000568 MO Practitioner - Optometry 9537234984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doniphan Vision Improvement Clinic LLCGroup PAC ID 2860833233, 2 clinicians
Dexter Family Eye Care, LLCGroup PAC ID 9436224888, 2 clinicians

Practice addresses (Care Compare)

204 Washington St
Doniphan, MO 63935-1763
Phone (573) 996-3937

812 N One Mile Rd
Dexter, MO 63841-1034
Phone (573) 614-5393

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008017078MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Doniphan Vision Improvement Clinic, LLC Optometrist CurrentSince Jan 2, 2024 Accepting new patients

Locations

204 Washington St
Doniphan, MO 63935
Phone (573) 996-3937

Organizations & group practices 2

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": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1114189347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N WALNUT ST",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411767",
            "telephone_number": "573-924-5393",
            "fax_number": "573-614-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N WALNUT ST",
            "city": "DEXTER",
            "state": "MO",
            "postal_code": "638411767",
            "telephone_number": "573-924-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-29",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2008017078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MO

Sources for this page

Verify at the official NPI Registry.