Active NPI
Jennifer Michelle Powell, O.D.
- Optometrist
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2043
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093V0 | Other | NC | BCBS PIN |
| 5905982 | Medicaid | NC |
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer M Powell, OD PLLC | Optometrist | Current | Accepting new patients |
| JMP Optometry, PLLC | Optometrist | Current | 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.
-
- Low Vision Rehabilitation Optometrist
- Apex, NC
- NPI 1871542159
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.
-
- Optometrist
- Durham, NC
- NPI 1205139680
-
- Optometrist
- Chapel Hill, NC
- NPI 1528559812
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.