Jennifer R McIntyre, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1112 Issued in NE

Practice address

9737 Giles Rd
Lavista, NE 68128-2930

Phone

(402) 963-0831

Fax

(402) 597-0330

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• I Care Optical Inc

  • Optometrist
  • La Vista, NE
  • NPI 1043861057
  NPD Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215069133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9737 GILES RD",
            "city": "LAVISTA",
            "state": "NE",
            "postal_code": "681282930",
            "telephone_number": "402-963-0831",
            "fax_number": "402-597-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9737 GILES RD",
            "city": "LAVISTA",
            "state": "NE",
            "postal_code": "681282930",
            "telephone_number": "402-963-0831",
            "fax_number": "402-597-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06803",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger A Klassen, OD
• Donald R Krysl, OD
• Thomas E Lewis, DDS
• Lifecare Family Medicine of Bellevue, P.C.
• Mark Frill DDS PC
• Trent Matthew Mengel, CSA
• New Beginnings Counseling Services, LLC
• Johannes Alvin Nhete
• Pro Health Pain & Rehab LLC.
• Michael Joseph Schilmoeller, DDS

• Optometrist in Lavista, NE
• Providers in Lavista, NE by specialty
• Optometrist in Nebraska

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.