Jessie Elizabeth Konynenbelt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3241 Issued in TN

Practice address

19527 Highland Oaks Dr Ste 3
Estero, FL 33928-9636

Phone

(239) 317-8200

Fax

(239) 317-8866

NPI assigned

Sep 10, 2015

Last updated

Sep 19, 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 2

Other names 1

• Jessie Elizabeth Atkinson Former name

Medicare fee-for-service enrollment

Enrolled in TN, FL2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edison Eye Care PLLCGroup PAC ID 4688039514, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Edison Eye Care, PLLC

  • Optometrist
  • Estero, FL
  • NPI 1255055646
  Medicare reassignment Care Compare group NPD
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  Medicare reassignment NPD
• Vanmor Vision PA

  • Optometrist
  • Orlando, FL
  • NPI 1942540406
  Medicare reassignment NPD
• Jeanine Hayen OD LLC

  dba College Park Eye Care

  • Optometrist
  • Orlando, FL
  • NPI 1326595208
  Medicare reassignment
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Orlando, FL
  • NPI 1689539017
  NPD
• National Vision, Inc.

  dba EyeGlass World

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1659749323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19527 HIGHLAND OAKS DR STE 203",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289637",
            "telephone_number": "239-317-8200",
            "fax_number": "239-317-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19527 HIGHLAND OAKS DR STE 3",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289636",
            "telephone_number": "239-317-8200",
            "fax_number": "239-317-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONYNENBELT",
        "first_name": "JESSIE",
        "middle_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPC5273",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019091800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "ATKINSON",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sebastian Klisiewicz, D.O.
• Steven Lee Knepper, DDS
• Konowal Vision Inc
• Alexandra Konowal, DO
• Benjamin John Konynenbelt, O.D.
• Judie Lee Krupp, MACCC/SLP
• Charles J Kull, PT, DPT
• Josephine Marie Kunkle, PH.D
• Elizabeth Melissa Kwiatek
• Caroline Lambe, PT, DPT, CLT

• Optometrist in Estero, FL
• Providers in Estero, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.