Jonathan Jenness, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

33667 Issued in CA

Practice address

3144 El Camino Real Ste 202
Carlsbad, CA 92008-2194

Phone

(760) 434-3314

Fax

(760) 434-5624

NPI assigned

Aug 31, 2016

Sex

Male

Sole proprietor

Yes

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 WA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathan.jenness@uprisedirect.com

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.

• Mill Creek Eye and Contact Lens Clinic, Inc.

  • Optometrist
  • Mill Creek, WA
  • NPI 1194094490
  Medicare reassignment NPD
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1356897284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 EL CAMINO REAL STE 202",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082194",
            "telephone_number": "760-434-3314",
            "fax_number": "760-434-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 EL CAMINO REAL STE 202",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082194",
            "telephone_number": "760-434-3314",
            "fax_number": "760-434-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNESS",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin Jefferson
• Jana Michele Jeltema, CCC-SLP
• Melissa McKeown Jenkins, PH.D.
• Wendalyn Denise Jenkins
• Jenna Khoury DMD Inc
• Cheryl Lynn Jennett, M.D
• Bryonna Maria Jennings
• Tiffany Jennings
• Jenny Ellingsen Dba Genesis Group
• Kiara Jernberg

• Optometrist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.