Individual provider Active NPI

Jennifer B Drake, OD

  • Optometrist
  • Columbia, TN
National Provider Identifier
1659535565
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2827 Issued in TN
Practice address
1709 Wedgewood Dr
Columbia, TN 38401-3578
Phone
(931) 840-3501
Fax
(931) 840-3505
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2827 TN Primary

Addresses

Primary practice location

1709 Wedgewood Dr
Columbia, TN 38401-3578

Mailing address

1709 Wedgewood Dr
Columbia, TN 38401-3578
Phone (931) 840-3501

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081017000348 TN Practitioner - Optometry 6002974177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Drake Eyecare and Eyewear PLLCGroup PAC ID 8820253487, 5 clinicians

Practice addresses (Care Compare)

252 Veterans Pkwy
Murfreesboro, TN 37128-6419
Phone (615) 907-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drake Eye Care and Eyewear PLLC CurrentSince Apr 29, 2012 Accepting new patients
Visionary Eye Care Associates LLC Optometrist Current Accepting new patients
Sanders Eye Care, PLLC Optometrist Past Accepting new patients
Drake Eye Care and Eyewear Optometrist Past Accepting new patients

Locations

220 Veterans Pkwy
Ste E
Murfreesboro, TN 37128
Phone (615) 907-2030

252 Veterans Pkwy
Murfreesboro, TN 37128
Phone (615) 907-2030

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1659535565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 WEDGEWOOD DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013578",
            "telephone_number": "931-840-3501",
            "fax_number": "931-840-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 WEDGEWOOD DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013578",
            "telephone_number": "931-840-3501",
            "fax_number": "931-840-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "JENNIFER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.