Individual provider Active NPI

Marjorie E Jenkins, OD

  • Optometrist
  • Union, NJ
National Provider Identifier
1144874256
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00690900 Issued in NJ
Practice address
2401 US Highway 22 W Ste P
Union, NJ 07083-8519
Phone
(908) 378-1821
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OM00158400 NJ
Optometrist 152W00000X 27OA00690900 NJ Primary

Addresses

Primary practice location

2401 US Highway 22 W Ste P
Union, NJ 07083-8519

Mailing address

2401 US Highway 22 W Ste P
Union, NJ 07083-8519
Phone (908) 378-1821

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251027000047 FL Practitioner - Optometry 2365931870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

244 Millet Cir
Cantonment, FL 32533-7889

3312 Hudson Ave
Apt 8L
Union City, NJ 07087-5946

3312 Hudson Ave
Apt 8L
Union City, NJ 07087-5969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00690900NJMDOptometrist
27OM00158400NJMDOptometrist

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Friendly Eyes Optometry LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

1808 W International Speedway Blvd
Ste 502
Daytona Beach, FL 32114
Phone (386) 255-1541

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1144874256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 US HIGHWAY 22 W STE P",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838519",
            "telephone_number": "908-378-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 US HIGHWAY 22 W STE P",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838519",
            "telephone_number": "908-378-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "MARJORIE",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00158400",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00690900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.