Jennifer Lee Jensen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3779 Issued in TN

Practice address

1940 Shady Brook St Ste E
Columbia, TN 38401-3989

Phone

(931) 380-2660

NPI assigned

Apr 20, 2007

Last updated

Jul 22, 2024By 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 2

Addresses

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

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.

• Price Eye Associates, PLLC

  dba Port Royal Eye Care

  • Optometrist
  • Spring Hill, TN
  • NPI 1235597543
  Medicare reassignment NPD
• Midsouth Eye Associates PLLC

  dba Essential Eyes

  • Optometrist
  • Columbia, TN
  • NPI 1932835337
  NPD
• 17TH Street Optometry Apc

  • Optometrist
  • Tustin, CA
  • NPI 1891268678
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1548487333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 SHADY BROOK ST STE E",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013989",
            "telephone_number": "714-856-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 SHADY BROOK ST STE E",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013989",
            "telephone_number": "931-380-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13032TPA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike David Jaramillo, M.D.
• Nostalgia Noel Jaworski, AGACNP-BC
• Kelley Vincent Jefferson, MD
• Emily O Jenkins, M.D.
• Savanna Marie Jenks, FNP-BC
• John Spencer Jensen, M.D.
• Nicholas Joseph Jensen, MD
• Natalie Leigh Jernigan, NP
• Kurt A. Jeter, O.D.
• Joseph Melvin Jett III, PHARMD

• Optometrist in Columbia, TN
• Providers in Columbia, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.