Active NPI
Jan Clenney Lenz, O.D.
- Optometrist
- Sheffield, AL
National Provider Identifier
1215040944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S704TA052
- Practice address
- 1110 S. Montgomery Ave
Tennessee River Eye Clinic
Sheffield, AL 35660 - Phone
- (256) 320-2020
- Fax
- (256) 381-7754
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S704TA052 | AL | Primary |
Addresses
Primary practice location
1110 S. Montgomery Ave
Tennessee River Eye Clinic
Sheffield, AL 35660
Mailing address
1110 S. Montgomery Ave
Tennessee River Eye Clinic
Sheffield, AL 35660
Phone (256) 381-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207563 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 S Montgomery Ave
Sheffield, AL 35660-6330
Phone (256) 381-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S704TA052 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee River Eye Clinic | Current | Accepting new patients | |
| Parker Cornea | Past | Accepting new patients |
Locations
1110 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 320-2020
Interoperability endpoints
- janlenzod@tnrivereye.direct.eyemdemr.com
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Sheffield, AL
- NPI 1548310741
-
- Ophthalmology Physician
- Vestavia, AL
- NPI 1194115428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1215040944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 S. MONTGOMERY AVE",
"address_2": "TENNESSEE RIVER EYE CLINIC",
"city": "SHEFFIELD",
"state": "AL",
"postal_code": "35660",
"telephone_number": "256-381-2020",
"fax_number": "256-381-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 S. MONTGOMERY AVE",
"address_2": "TENNESSEE RIVER EYE CLINIC",
"city": "SHEFFIELD",
"state": "AL",
"postal_code": "35660",
"telephone_number": "256-320-2020",
"fax_number": "256-381-7754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENZ",
"first_name": "JAN",
"middle_name": "CLENNEY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S704TA052",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207563",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheffield, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.