Individual provider Active NPI

Jenifer Emmie Laila Webb, O.D.

  • Optometrist
  • Mountain View, CA
National Provider Identifier
1306045869
Registry record updated Jul 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13313 Issued in CA
Practice address
1150 W El Camino Real
Mountain View, CA 94040-2518
Phone
(650) 967-5789
Fax
(650) 967-4106
NPI assigned
Jul 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13313 CA Primary

Addresses

Primary practice location

1150 W El Camino Real
Mountain View, CA 94040-2518

Mailing address

1150 W El Camino Real
Mountain View, CA 94040-2518
Phone (650) 967-5789

Other names 1

  • Dr. Jenifer Emmie Laila Seger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20071227000590 CA Practitioner - Optometry 1557441888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jenifer E L Webb OD IncGroup PAC ID 6406293653, 3 clinicians

Practice addresses (Care Compare)

419 N Shoreline Blvd
Mountain View, CA 94043-4605
Phone (650) 967-5789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13313CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jenifer E L Webb OD, Inc. Optometrist CurrentSince Apr 1, 2024 Accepting new patients

Locations

419 N Shoreline Blvd
Mountain View, CA 94043
Phone (650) 967-5789

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184457600000",
    "number": "1306045869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W EL CAMINO REAL",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402518",
            "telephone_number": "650-967-5789",
            "fax_number": "650-967-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W EL CAMINO REAL",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940402518",
            "telephone_number": "650-967-5789",
            "fax_number": "650-967-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JENIFER",
        "middle_name": "EMMIE LAILA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-15",
        "last_updated": "2007-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIFER",
            "last_name": "SEGER",
            "middle_name": "EMMIE LAILA",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.