Jenna Cedillo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

9066T Issued in TX

Practice address

402 Sawdust Rd
The Woodlands, TX 77380-2243

Phone

(281) 363-2020

NPI assigned

Aug 10, 2016

Last updated

Aug 10, 2016By 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 TX

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

University of Houston - College of Optometry, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Woodlands Eye Associates at Panther Creek PLLCGroup PAC ID 7012947260, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Woodlands Eye Associates at Panther Creek, PLLC

  dba Woodlands Eye Associates - Panther Creek

  • Optometrist
  • The Woodlands, TX
  • NPI 1841210697
  Medicare reassignment Care Compare group
• Woodlands Eye Associates at Medical Plaza PLLC

  dba Woodlands Eye Associates - Medical Plaza

  • Corneal and Contact Management Optometrist
  • The Woodlands, TX
  • NPI 1336284793
  Medicare reassignment NPD

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1477007177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SAWDUST RD",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802243",
            "telephone_number": "281-363-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SAWDUST RD",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802243",
            "telephone_number": "281-363-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDILLO",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9066T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CBS Medical Supplies, LLC (Adrienne Sierra)
• CBS Medical Supplies, LLC
• CCR Labs LLC
• Cda Conroe Diagnostic Associates, PA
• Margaret Louise Cecil, ANP-C
• Center for Advanced Rehabilitation & Education
• Center for Facial Pain & Dental Sleep Medicine
• Center for Facial Pain & Dental Sleep Medicine, PC
• Center for Medical Genetics, PLLC
• Center for Pediatric Therapy Inc

• Optometrist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.