Dr. Harold L Jennings

Primary specialty

OptometristTaxonomy code 152W00000X

License

0797 Issued in NC

Legal business name

DR. HAROLD L JENNINGS

Practice address

1203 Northup St
Reidsville, NC 27320-5511

Phone

(336) 342-3159

Fax

(336) 349-2277

NPI assigned

Jun 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Harold L Jennings, O.D.NPI 1922051309

Title

President

Phone

(336) 342-3159

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold L Jennings, O.D.

  • Optometrist
  • Reidsville, NC
  • NPI 1922051309
  NPD (past) Authorized official

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1235398124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273230367",
            "telephone_number": "336-342-3159",
            "fax_number": "336-349-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 NORTHUP ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205511",
            "telephone_number": "336-342-3159",
            "fax_number": "336-349-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HAROLD L JENNINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-342-3159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909452",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaikia Dillard
• Kelly Herger Dixon, WHNP
• Phillip Everett Dixon, MD
• Richard M Dondiego, M.D.
• Kofi Adeleke Doonquah, M.D.
• Dr. Jeff Wayne Johnson DDS
• Dr. Joseph Adams, DDS, PA
• Lakevia Diane Draper, LCMHCA
• Norman Scott Duncan, DDS, MS
• Annette Dunlap

• Optometrist in Reidsville, NC
• Providers in Reidsville, 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 5, 2008; 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.