Individual provider Active NPI

Jenny Lu Johns, O.D.

  • Optometrist
  • Muskogee, OK
National Provider Identifier
1487932992
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2713 Issued in OK
Practice address
1011 Honor Heights Dr
Muskogee, OK 74401-1318
Phone
(817) 851-3887
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2713 OK Primary

Addresses

Primary practice location

1011 Honor Heights Dr
Muskogee, OK 74401-1318

Mailing address

3330 S Cincinnati Ave
Tulsa, OK 74105-2544
Phone (817) 851-3887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20111025000880 OK Practitioner - Optometry 2860665510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morton Comprehensive Health Services IncGroup PAC ID 1951297621, shared by 6 NPIs, 29 clinicians

Practice addresses (Care Compare)

11511 E 21St St
Tulsa, OK 74129-1815
Phone (918) 587-2171

1334 N Lansing Ave
Tulsa, OK 74106-5907
Phone (918) 587-2171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Morton Comprehensive Health Services, Inc CurrentSince Jan 25, 2024 Accepting new patients
Focus Family Eyecare PLLC Optometrist CurrentSince May 1, 2019 Accepting new patients
Morton Comprehensive Health Services, Inc Current Accepting new patients
Morton Comprehensive Health Services, Inc CurrentSince Jan 25, 2024 Accepting new patients
Eyecare Associates of South Tulsa PC Optometrist Past Accepting new patients
Jerry B. Carter, O.D. PastSince Jun 1, 2012 Accepting new patients

Locations

6130 S Maplewood Ave
Ste D
Tulsa, OK 74136
Phone (918) 252-0438

1334 N Lansing Ave
Tulsa, OK 74106

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1487932992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 S CINCINNATI AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741052544",
            "telephone_number": "817-851-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HONOR HEIGHTS DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744011318",
            "telephone_number": "817-851-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "JENNY",
        "middle_name": "LU",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.