Individual provider Active NPI

Jenni Johnson, O.D.

  • Optometrist
  • Virginia Beach, VA
National Provider Identifier
1639582109
Registry record updated Aug 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002330 Issued in VA
Practice address
3750 Virginia Beach Blvd Ste I
Virginia Beach, VA 23452-3411
Phone
(757) 486-1712
NPI assigned
Jun 3, 2014
Last updated
Aug 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002330 VA Primary

Addresses

Primary practice location

3750 Virginia Beach Blvd Ste I
Virginia Beach, VA 23452-3411

Mailing address

3750 Virginia Beach Blvd Ste I
Virginia Beach, VA 23452-3411
Phone (757) 486-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230727002273 NJ Practitioner - Optometry 4486871308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey L Morer OD PCGroup PAC ID 7719870807, 50 clinicians

Practice addresses (Care Compare)

103 Carnegie Ctr
Suite 300
Princeton, NJ 08540-6235
Phone (888) 964-6681

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince May 12, 2025 Accepting new patients
Jeffrey L. Morer, OD, PC Optometrist CurrentSince May 12, 2025 Accepting new patients
Personaleyes Vision Group LLC Optometrist CurrentSince Apr 11, 2023 Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

103 Carnegie Ctr
Ste 300
Princeton, NJ 08540
Phone (609) 524-2514

700 E Clements Bridge Rd
Runnemede, NJ 08078
Phone (856) 939-5515

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438387200000",
    "number": "1639582109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 VIRGINIA BEACH BLVD STE I",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523411",
            "telephone_number": "757-486-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 VIRGINIA BEACH BLVD STE I",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523411",
            "telephone_number": "757-486-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2015-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.