Jenilee Rebarber, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4962 Issued in FL

Practice address

140 Gateway Cir Unit 5
St Johns, FL 32259-4085

Phone

(904) 217-7099

NPI assigned

Feb 5, 2010

Last updated

Mar 22, 2021By 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

Medicare fee-for-service enrollment

Enrolled in FL

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Sighthealth Primary Eyecare, PA

  dba SightHealth Primary Eyecare

  • Optometrist
  • Jacksonville, FL
  • NPI 1477089845
  Medicare reassignment NPD Authorized official
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1164308771
  Medicare reassignment
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Tampa, FL
  • NPI 1114012689
  NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Venice, FL
  • NPI 1740471705
  NPD
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)
• Vision Today PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1538650155
  NPD (past)
• Inter American University of Puerto Rico

  • Clinical Medical Laboratory
  • San Juan, PR
  • NPI 1356810717
  NPD (past)

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1417289174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550961",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322550961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GATEWAY CIR UNIT 5",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322594085",
            "telephone_number": "904-217-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBARBER",
        "first_name": "JENILEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raphael Companion Care Inc.
• Jennifer Lynn Raters, BCBA
• Shanjida Rauf
• David Robert Ray Jr.
• RCM Healthcare Solutions, LLC
• Karen Kathryn Reckamp, OTR/L ATP, SMS
• Janda Reed, BEHAVIOR TECHNICIAN
• Rehab in Motion, LLC
• Buffie Marie Reid, MD
• Korinne Reilly, MSN, NP-C

• Optometrist in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.