Active NPI
Jenna Nieman, O.D.
- Optometrist
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 006731
- Practice address
- 7800 Montgomery Rd Unit 5
Cincinnati, OH 45236-4306 - Phone
- (513) 793-5970
- Fax
- (513) 793-5976
- NPI assigned
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3348 | TN | |
| Optometrist | 152W00000X | 0618002513 | VA | |
| Optometrist | 152W00000X | 006731 | OH | Primary |
Addresses
Primary practice location
7800 Montgomery Rd Unit 5
Cincinnati, OH 45236-4306
Mailing address
2011 N Roan St
Space E-6
Johnson City, TN 37601-3130
Phone (423) 610-7155
Other practice location 1
7630 Blake St
Liberty Township, OH 45069-7520
Phone (513) 712-5065
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7800 Montgomery Rd
Unit 5
Cincinnati, OH 45236-4306
Phone (513) 793-5970
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006731 | OH | MD | Optometrist |
| 0618002513 | VA | MD | Optometrist |
| 3348 | TN | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Tonya D. Lindsell and Associates, LLC | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
7800 Montgomery Rd
Unit 5
Cincinnati, OH 45236
Phone (513) 793-5970
4601 Eastgate Blvd
#C578
Cincinnati, OH 45245
Phone (513) 232-2230
7630 Blake St
Liberty Township, OH 45069
Phone (513) 712-5064
Organizations & group practices 3
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.
-
- Optometrist
- Cincinnati, OH
- NPI 1992755672
-
- Optometrist
- Liberty Township, OH
- NPI 1346696093
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1629428511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 N ROAN ST",
"address_2": "SPACE E-6",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376013130",
"telephone_number": "423-610-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 MONTGOMERY RD UNIT 5",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452364306",
"telephone_number": "513-793-5970",
"fax_number": "513-793-5976"
}
],
"practiceLocations": [
{
"address_1": "7630 Blake St",
"address_purpose": "LOCATION",
"city": "Liberty Township",
"state": "OH",
"postal_code": "450697520",
"country_code": "US",
"telephone_number": "513-712-5065",
"fax_number": "513-755-1741",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIEMAN",
"first_name": "JENNA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3348",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002513",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "006731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.