Jennifer Ann Minnick, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003695 Issued in PA

Practice address

1005 Penllyn Pike
Spring House, PA 19477-0075

Phone

(215) 628-8799

NPI assigned

Jun 30, 2020

Last updated

Jul 20, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spring House Eye Associates LLCGroup PAC ID 9032109533, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Spring House Eye Associates, LLC

  • Optometrist
  • Spring House, PA
  • NPI 1033145867
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1609493287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "194770075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 PENLLYN PIKE",
            "city": "SPRING HOUSE",
            "state": "PA",
            "postal_code": "194770075",
            "telephone_number": "215-628-8799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Kirkwood Hwy",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198054917",
            "country_code": "US",
            "telephone_number": "302-994-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2021-07-20",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Wilington",
            "affiliation": "N",
            "address_1": "1601 Kirkwood Hwy",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198054917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maureen McLaughlin, PA-C
• John A McVan IV
• Med-Tec Transport, Inc.
• Melvyn a. Wolf MDPC
• Terry L Merkle, R.PH.
• Brian Moran, PSYD
• Muldoon-Fitz Enterprises Inc (Village Pharmacy at Springhouse)
• Muldoon-Fitz Enterprises Inc (Village Pharmacy at Springhouse)
• Tauseef Mutwahir, DMD
• Namaste Rehab Clinics LLC (FYZICAL Therapy and Balance Centers)

• Optometrist in Spring House, PA
• Providers in Spring House, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.