Jennifer Sakura Gannon, OD, FAAO

Primary specialty

OptometristTaxonomy code 152W00000X

License

233 Issued in AK

Practice address

Blackfeet Community Hospital Eye Clinic
Hopsital Circle
Browning, MT 59417

Phone

(406) 338-6140

NPI assigned

Jun 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Pennsylvania College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

U S Health Dept of Health and Human ServicesGroup PAC ID 9638081623, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• P H S Indian Hospital at Browning - Blackfeet Hospital, Browning, MT, CCN 270074

Medicare enrollment (NPD)

Enrolled

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.

• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602

  TX

  Medicare reassignment Care Compare group NPD
• U S Health Dept of Health & Human Services

  • General Acute Care Hospital
  • Browning, MT
  • NPI 1861409955
  Care Compare group NPD
• U S Health Dept of Health & Human Services

  • Critical Access Hospital Clinic/Center
  • Harlem, MT
  • NPI 1942367842
  Care Compare group
• US Health Dept of Health & Human Services

  • Critical Access Hospital
  • Crow Agency, MT
  • NPI 1548393358
  Care Compare group
• U S Health Dept of Health & Human Services

  • Critical Access Hospital
  • Lodge Grass, MT
  • NPI 1750410395
  NPD

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194721241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HALL",
            "city": "CUT BANK",
            "state": "MT",
            "postal_code": "594279220",
            "telephone_number": "406-336-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLACKFEET COMMUNITY HOSPITAL EYE CLINIC",
            "address_2": "HOPSITAL CIRCLE",
            "city": "BROWNING",
            "state": "MT",
            "postal_code": "59417",
            "telephone_number": "406-338-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "JENNIFER",
        "middle_name": "SAKURA",
        "name_prefix": "Dr.",
        "credential": "OD, FAAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Flint, MD
• Gustavo Flores, PHARMD
• Kara Heist Francis, MD
• Ronnalea Gallagher, RN
• Clara Jo Gallagherhorn
• Rachel Rose Gobert, RN
• Amber Gopher, R.N.
• Melissa M Gordon, RN
• Timothy R Gordon, MSPT
• Vanissa Grant

• All providers in Browning, MT
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.