Mark W. Jaehning, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1029 Issued in CO

Practice address

1550 S Potomac St
155
Aurora, CO 80012-5455

Phone

(303) 369-1020

Fax

(303) 751-2020

NPI assigned

May 8, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1346299252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13893 E BELLEWOOD DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151170",
            "telephone_number": "303-369-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST",
            "address_2": "155",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125455",
            "telephone_number": "303-369-1020",
            "fax_number": "303-751-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEHNING",
        "first_name": "MARK",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08010290",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody Adele Jacobson, JODY JACOBSON, NNP
• Mona Pearl Jacobson, NP
• Ellie Jo Jacoby, MGC
• Wisler Jacquecin
• Hannah Jaeger, PTA
• Bruce Jafek, MD
• Meridith Jaffe, LCSW
• James Jaggers, MD
• Rebecca Jeanne Jagodzinski
• Nushat Jahan

• Optometrist in Aurora, CO
• Providers in Aurora, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.