Jennifer Taylor Elder, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3109 Issued in TN

Practice address

180 Old Hickory Blvd Ste L
Jackson, TN 38305-2500

Phone

(731) 661-2750

NPI assigned

Jun 25, 2013

Last updated

Feb 6, 2023By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1548600414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 OLD HICKORY BLVD STE L",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052500",
            "telephone_number": "731-661-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 OLD HICKORY BLVD STE L",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052500",
            "telephone_number": "731-661-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "JENNIFER",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009366",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alaina Caleigh Eddlemon
• Yolanda Edgeston
• Arrie Beth Edwards, DPH
• Steven E Edwards, CRNA
• James Edward Egan, MD
• Lolly Houston Eldridge, M.D.
• Kevin Elgin, RPSGT
• Elite Dental Care Jackson
• Casey M Ellington, CRNA
• Chelsey Elliott, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.