Individual provider Active NPI

Jenny Hester Duncan, O.D.

  • Optometrist
  • Memphis, TN
National Provider Identifier
1497019756
Registry record updated Jul 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T3056 Issued in TN
Practice address
1030 Jefferson Ave
Memphis, TN 38104-2127
Phone
(901) 523-8990
NPI assigned
Jul 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T3056 TN Primary

Addresses

Primary practice location

1030 Jefferson Ave
Memphis, TN 38104-2127

Mailing address

3628 Autumn Ave
Memphis, TN 38122-4609
Phone (662) 610-1187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180110002380 TN Practitioner - Optometry 8123387537 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Square Eyecare PLLCGroup PAC ID 6103225529, 4 clinicians
Eyecare East, PLLCGroup PAC ID 7517195779, 5 clinicians

Practice addresses (Care Compare)

50 N Main St
Suite 102
Collierville, TN 38017-2605
Phone (901) 757-2020

9031 Valley Crest LN
Germantown, TN 38138-7829
Phone (901) 757-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T3056TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
East Memphis Eye Associates PLLC Optometrist CurrentSince Mar 10, 2021 Accepting new patients
Square Eyecare, PLLC. Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Eyecare East, PLLC Optometrist CurrentSince Mar 10, 2021 Accepting new patients

Locations

50 N Main St
Ste 102
Collierville, TN 38017
Phone (901) 484-7017

9031 Valley Crest Ln
Germantown, TN 38138
Phone (901) 262-9475

9031 Valley Crest Ln
Ste 70
Germantown, TN 38138

6450 Poplar Ave
Ste 117
Memphis, TN 38119
Phone (901) 797-9008

Organizations & group practices 3

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": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341100800000",
    "number": "1497019756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 AUTUMN AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224609",
            "telephone_number": "662-610-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042127",
            "telephone_number": "901-523-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "JENNY",
        "middle_name": "HESTER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-01",
        "last_updated": "2012-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T3056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.