Individual provider Active NPI

Jennifer Hartzell Calnan, OD

  • Pediatric Optometrist
  • Chelmsford, MA
National Provider Identifier
1508076027
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
4594 Issued in MA
Practice address
19 Village SQ
Chelmsford, MA 01824-2712
Phone
(978) 703-0250
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 4594 MA Primary

Addresses

Primary practice location

19 Village SQ
Chelmsford, MA 01824-2712

Mailing address

19 Village SQ
Chelmsford, MA 01824-2712
Phone (978) 703-0250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20080121000086 MA Practitioner - Optometry 4587754239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massachusetts Eye Associates PC 13 clinicians

Practice addresses (Care Compare)

19 Village SQ
Chelmsford, MA 01824-2712
Phone (978) 256-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4594MAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Eye Associates PC CurrentSince Jan 14, 2008 Accepting new patients
Massachusetts Eye Associates PC CurrentSince Jan 14, 2008 Accepting new patients

Locations

19 Village Sq
Chelmsford, MA 01824
Phone (978) 256-5600

33 Bartlett St
Ste 101
Lowell, MA 01852
Phone (978) 256-5600

500 Clark Rd
Ste 3B
Tewksbury, MA 01876
Phone (978) 256-5600

Organizations & group practices 2

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1508076027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-703-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 VILLAGE SQ",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242712",
            "telephone_number": "978-703-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALNAN",
        "first_name": "JENNIFER",
        "middle_name": "HARTZELL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MA",
            "license": "4594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.