Active NPI
Norma Jenkins, OD
- Optometrist
- Flagstaff, AZ
National Provider Identifier
1437261856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 116
- Practice address
- 4650 N. Hwy 89
Space C-2
Flagstaff, AZ 86004 - Phone
- (928) 522-8424
- Fax
- (928) 526-1503
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 116 | AZ | Primary |
Addresses
Primary practice location
4650 N. Hwy 89
Space C-2
Flagstaff, AZ 86004
Mailing address
11103 West Avenue
Ste 6
San Antonio, TX 78213
Phone (210) 524-6803
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437261856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11103 WEST AVENUE",
"address_2": "STE 6",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78213",
"telephone_number": "210-524-6803",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 N. HWY 89",
"address_2": "SPACE C-2",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "86004",
"telephone_number": "928-522-8424",
"fax_number": "928-526-1503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "NORMA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.