Individual provider Active NPI

Jennifer Michelle Powell, O.D.

  • Optometrist
  • Durham, NC
National Provider Identifier
1437209913
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2043 Issued in NC
Practice address
3115 Academy Rd
Durham, NC 27707
Phone
(919) 493-7456
Fax
(919) 493-1718
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2043 NC Primary

Addresses

Primary practice location

3115 Academy Rd
Durham, NC 27707

Mailing address

3115 Academy Rd
Durham, NC 27707-2652
Phone (919) 493-7456

Other practice location 1

910 Martin Luther King Jr Blvd Ste 100
Chapel Hill, NC 27514-2655
Phone (919) 942-8531

Other identifiers 2

IdentifierTypeStateIssuer
093V0OtherNCBCBS PIN
5905982MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20071026000554 NC Practitioner - Optometry 6608963384 Receives reassigned benefits from 1 practitioner
Practice locations: Chapel Hill, NC; Durham, NC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3115 Academy Rd
Durham, NC 27707-0031
Phone (919) 493-7456

3115 Academy Rd
Durham, NC 27707-2652

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer M Powell, OD PLLC Optometrist CurrentSince Jan 3, 2011 Accepting new patients
JMP Optometry, PLLC Optometrist CurrentSince May 1, 2018 Accepting new patients

Locations

910 Martin Luther King Jr Blvd
Ste 100
Chapel Hill, NC 27514
Phone (919) 942-8531

3115 Academy Rd
Durham, NC 27707
Phone (919) 493-2569

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1437209913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 ACADEMY RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072652",
            "telephone_number": "919-493-7456",
            "fax_number": "919-493-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 ACADEMY RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27707",
            "telephone_number": "919-493-7456",
            "fax_number": "919-493-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Martin Luther King Jr Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275142655",
            "country_code": "US",
            "telephone_number": "919-942-8531",
            "fax_number": "919-942-0719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "093V0",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905982",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.