Jenneth Marie Collins, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5239/T2143 Issued in OH

Practice address

111 Progress Dr
Bellevue, OH 44811-9094

Phone

(419) 484-8181

Fax

(419) 484-1033

NPI assigned

Jan 26, 2006

Last updated

Feb 21, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Envision Icare, Inc

  • Optometrist
  • Bellevue, OH
  • NPI 1750534087
  Medicare reassignment NPD Authorized official
• The Cleveland Clinic Foundation

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1679525919
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1346211687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PROGRESS DR",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119094",
            "telephone_number": "419-484-8181",
            "fax_number": "419-484-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PROGRESS DR",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119094",
            "telephone_number": "419-484-8181",
            "fax_number": "419-484-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JENNETH",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5239/T2143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2318487",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Carroll, MSN, APRN, FNP-C
• CGS Home Health Care Agency
• Charles P House Sr. D.O. Inc
• Christopher a. Pensiero, DPM, Inc. (Bellevue Foot Center)
• Carla Denise Cole, RN
• Community and Rural Health Services, Inc. (Community Health Services)
• Community and Rural Health Services, Inc.
• Mary A Connolly, LSW
• Cornerstone Counseling of Bellevue, LLC
• Cornerstone Psychological Affiliates

• Optometrist in Bellevue, OH
• Providers in Bellevue, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.