Jennifer Lynn Deakins, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7594T Issued in TX

Practice address

3963 Boat Club Rd
Fort Worth, TX 76135-3202

Phone

(817) 237-7153

Fax

(817) 237-7123

NPI assigned

Aug 2, 2010

Last updated

Mar 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Houston SystemGroup PAC ID 6901896356, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jennifer.deakins.p1@direct.ntachc.nextgenshare.com

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.

• University of Houston System

  dba University Eye Institute

  • Optometrist
  • Houston, TX
  • NPI 1861493140
  Medicare reassignment Care Compare group NPD
• North Texas Area Community Health Centers, Inc.

  dba Northside Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Fort Worth, TX
  • NPI 1568420800
  Medicare reassignment NPD
• North Texas Area Community Health Centers, Inc

  dba North Texas Area Community Health Centers Pharmacy

  • Community/Retail Pharmacy
  • Fort Worth, TX
  • NPI 1417438243
  NPD
• University of Houston

  • Community Health Worker
  • Houston, TX
  • NPI 1366081622
  NPD
• University of Houston System

  dba Cedar Springs Eye Clinic

  • Optometrist
  • Dallas, TX
  • NPI 1174660260
  NPD

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1255645230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 VINE ST",
            "address_2": "#359",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752044035",
            "telephone_number": "832-671-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3963 BOAT CLUB RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761353202",
            "telephone_number": "817-237-7153",
            "fax_number": "817-237-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAKINS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7594T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly L De Leon, SLP
• Martha Ruth De Leon, RN
• Sharon Rose De Leon
• Deaf Birth Services, LLC (Deaf Birth Services)
• Zachary Marshall Deak, DO
• Shawntanea Deal, RBT
• Katherine Anne Dealaman, APRN-CNP, AGACNP-BC
• Patricia A Dean-Coakley, PNP
• Andrean Nichole Dean, RN
• Asad Dean, MD

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.

Verify at the official NPI Registry.