Jenna Henrich, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

073497 Issued in IA

Practice address

1310 1St St W
Independence, IA 50644-2316

Phone

(319) 334-6087

Fax

(319) 334-6488

NPI assigned

Jun 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Illinois College of Optometry at Chicago, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Copeland Eyecare PLLCGroup PAC ID 1759557085, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.28 of 100Reported as group

Quality

80.56

Improvement activities

40

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.

• Copeland Eyecare PLLC

  • Optometrist
  • Cedar Rapids, IA
  • NPI 1619244787
  Medicare reassignment Care Compare group NPD
• Coralville Eye Associates, Inc

  • Optometrist
  • Coralville, IA
  • NPI 1619480951
  NPD (past)
• R.D. Espe OD, PC

  • Optometrist
  • Independence, IA
  • NPI 1043315633
  NPD (past)

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1154734929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 1ST ST W",
            "address_2": "P.O. BOX 737",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506442316",
            "telephone_number": "319-334-6087",
            "fax_number": "319-334-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 1ST ST W",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506442316",
            "telephone_number": "319-334-6087",
            "fax_number": "319-334-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICH",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "073497",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IA",
            "license": "073497",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IA",
            "license": "073497",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IA",
            "license": "073497",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IA",
            "license": "073497",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George M. Harper, ED.D.
• Hartig Drug Co Corp
• Timothy Merwyn Hartsook, D.D.S.
• Healthcar Non-Emergency Medical Transportation, LLC
• Joni Kay Henderson, ARNP
• Ryan Ray Henriksen, DPT
• Ali K Hoffert
• Kurt Anthony House, D.O.,F.P.
• Marla Kay Howlett, PHARMACIST
• Independence C.S.D.

• Optometrist in Independence, IA
• Providers in Independence, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.