Individual provider Active NPI

Jenny N Alsop, JENNY ALSOP, O.D.

  • Optometrist
  • Midlothian, VA
National Provider Identifier
1245494863
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001779 Issued in VA
Practice address
1306 Alverser PLZ
Midlothian, VA 23113-2604
Phone
(804) 379-1872
Fax
(804) 379-0772
NPI assigned
Jul 13, 2008
Last updated
Jan 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001779 VA Primary

Addresses

Primary practice location

1306 Alverser PLZ
Midlothian, VA 23113-2604

Mailing address

1306 Alverser PLZ
Midlothian, VA 23113-2604
Phone (804) 379-1872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20130404000556 VA Practitioner - Optometry 2769627264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Jenny Alsop, OD PLLCGroup PAC ID 5991026684, 2 clinicians

Practice addresses (Care Compare)

1306 Alverser PLZ
Midlothian, VA 23113-2604
Phone (804) 379-1872

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jenny Alsop, OD PLLC Optometrist CurrentSince Jan 7, 2013 Accepting new patients

Locations

1306 Alverser Plz
Midlothian, VA 23113
Phone (804) 379-1872

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1245494863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 ALVERSER PLZ",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132604",
            "telephone_number": "804-379-1872",
            "fax_number": "804-379-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 ALVERSER PLZ",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132604",
            "telephone_number": "804-379-1872",
            "fax_number": "804-379-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSOP",
        "first_name": "JENNY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "JENNY ALSOP, O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-13",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.