Individual provider Active NPI

Jennifer Guerra, O.D.

  • Optometrist
  • The Colony, TX
National Provider Identifier
1154420685
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6890T Issued in TX
Practice address
4709 Hwy 121 Ste 122
The Colony, TX 75056-2903
Phone
(972) 625-2020
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6890T TX Primary

Addresses

Primary practice location

4709 Hwy 121 Ste 122
The Colony, TX 75056-2903

Mailing address

4709 Hwy 121 Ste 122
The Colony, TX 75056-2903
Phone (972) 625-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140613001235 TX Practitioner - Optometry 3476777491 Reassigns benefits to 1 organization
I20180411000746 SC Practitioner - Optometry 3476777491

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott L Helgeson OD PLLCGroup PAC ID 2860769213, 3 clinicians

Practice addresses (Care Compare)

2200 S 10TH St
Suite B6
McAllen, TX 78503-5435
Phone (956) 682-4459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6890TTXMDOptometrist
1917SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scott L Helgeson OD PLLC Optometrist CurrentSince Oct 11, 2019 Accepting new patients

Locations

2200 S 10th St
Ste B6
McAllen, TX 78503
Phone (956) 682-4428

Interoperability endpoints

  • Direct secure messaging: jennifer.guerra@uprisedirect.com

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1154420685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 HWY 121 STE 122",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562903",
            "telephone_number": "972-625-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 HWY 121 STE 122",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562903",
            "telephone_number": "972-625-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6890T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Colony, TX

Sources for this page

Verify at the official NPI Registry.