Individual provider Active NPI

Christopher Don Jenck, OD

  • Optometrist
  • Tillamook, OR
National Provider Identifier
1497470199
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4651 Issued in OR
Practice address
800 Main Ave Ste a
Tillamook, OR 97141-3760
Phone
(503) 842-5568
Fax
(503) 842-1122
NPI assigned
Oct 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4651 OR Primary

Addresses

Primary practice location

800 Main Ave Ste a
Tillamook, OR 97141-3760

Mailing address

800 Main Ave Ste a
Tillamook, OR 97141-3760
Phone (503) 842-5568

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20221024001574 OR Practitioner - Optometry 1153797766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TVC OD, LLCGroup PAC ID 1456619360, 2 clinicians

Practice addresses (Care Compare)

2101 5TH St
Tillamook, OR 97141-2330
Phone (503) 842-5568

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.91 of 100Reported as group
Quality
83.82
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1497470199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAIN AVE STE A",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413760",
            "telephone_number": "503-842-5568",
            "fax_number": "503-842-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN AVE STE A",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971413760",
            "telephone_number": "503-842-5568",
            "fax_number": "503-842-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENCK",
        "first_name": "CHRISTOPHER",
        "middle_name": "DON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tillamook, OR

Sources for this page

Verify at the official NPI Registry.