Active NPI
Jennifer Nicole Meadows, O.D.
- Optometrist
- Fort Jackson, SC
National Provider Identifier
1376739334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1745
- Practice address
- 4500 8TH Div Rd
Ft Jackson, SC 29207 - Phone
- (803) 751-5406
- NPI assigned
- Sep 23, 2007
- Last updated
- Jun 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2622 | CO | |
| Optometrist | 152W00000X | 1745 | SC | Primary |
Addresses
Primary practice location
4500 8TH Div Rd
Ft Jackson, SC 29207
Mailing address
4500 8TH Division Rd
Columbia, SC 29207-5700
Phone (038) 751-5406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1745 | SC | MD | Clinical Psychologist |
| 2622 | CO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1376739334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 8TH DIVISION RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292075700",
"telephone_number": "038-751-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 8TH DIV RD",
"city": "FT JACKSON",
"state": "SC",
"postal_code": "29207",
"telephone_number": "803-751-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOWS",
"first_name": "JENNIFER",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-23",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2622",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Jackson, SC
- Esther Kim, OD
- Andrew Christian Marshall, DMD
- Clem Donald McDuffie, OD
- Herbert McKinney, DMD
- Douglas Wayne McPherson, DMD
- Moncrief Army Community Hospital (Usadc Hagen-Jackson)
- Moncrief Army Community Hospital (Usadc Phy Exam Sta-Jackson)
- National Vision, Inc.
- Renee Lucille Nelson, RN
- Mary Anne Oliver, APRN-BC, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.