David Michael Jennings Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2002030491 Issued in MO

Practice address

305 N Keene St
Suite 205
Columbia, MO 65201-6897

Phone

(573) 499-9949

NPI assigned

Nov 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Other, 1998

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

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.

• Jennings Eye Associates, P.C.

  • Optometrist
  • Columbia, MO
  • NPI 1871649020
  Medicare reassignment Authorized official
• Ophthalmic Partners, PA

  • Ophthalmology Physician
  • Granbury, TX
  • NPI 1568541712
  NPD (past)

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1376614404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N KEENE ST",
            "address_2": "STE 205",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016898",
            "telephone_number": "573-499-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N KEENE ST",
            "address_2": "SUITE 205",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016897",
            "telephone_number": "573-499-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002030491",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2252",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer C. Bouwkamp-Memmer, PHD, LLC
• Jennifer Stevenson Isl
• Jennings Eye Associates, P.C.
• Brady Alan Jennings
• Cassidy Jennings, PHARMD
• Jacob Jennings, PHARMD
• Jay Jennings
• Rebecca Jennings, RDN
• Taylor Ray Jennings, FNP
• Abigail Jensen

• Optometrist in Columbia, MO
• Providers in Columbia, MO by specialty
• Optometrist in Missouri

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