Jennifer M Shenk, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2072 Issued in NC

Practice address

703 Rosanne Drive
Kinston, NC 28504

Phone

(252) 527-8804

NPI assigned

Sep 26, 2007

Last updated

Jun 20, 2013By the provider in NPPES

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

Enrolled in NC

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• RS Eye Care, OD, PA

  • Optometrist
  • Holly Springs, NC
  • NPI 1003148727
  Medicare reassignment NPD
• Wake Family Eye Care OD, PA

  • Optometrist
  • Cary, NC
  • NPI 1588080436
  Medicare reassignment NPD
• Carolina Vision Care, LLC

  dba Jeffrey A Harvey

  • Optometrist
  • Kinston, NC
  • NPI 1174657951
  NPD (past)
• Triangle Eye Institute OD, PA

  • Optometrist
  • Raleigh, NC
  • NPI 1881646511
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1235326943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 ROSANNE DRIVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28504",
            "telephone_number": "252-527-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 ROSANNE DRIVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28504",
            "telephone_number": "252-527-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENK",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5922869",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Benedek Serrano, D.O.
• Kia Sewell-Chance, M.D.
• Jessica Theobald Seymour, NUTRITIONIST
• Walter Daniel Shannon Jr., M.D.
• SHC Medical Partners of North Carolina, LLC
• Shipman Family Home Care Inc.
• Ajai Shreevatsa, MD
• Michael Shutak II, PA-C
• Chrisandra Rey Sico-Davis, MD
• Skylar Elizabeth Simmons

• Optometrist in Kinston, NC
• Providers in Kinston, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.