Organization Active NPI

Jenkins Family Eye Care

  • Optometrist
  • Marietta, OH
National Provider Identifier
1700116365
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5316 Issued in OH
Legal business name
JENKINS FAMILY EYE CARE
Practice address
307 4TH St
Marietta, OH 45750-2002
Phone
(740) 373-3191
Fax
(740) 373-3196
NPI assigned
Jan 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Dr. Joshua Benjamin Jenkins, O.D.
Title
Owner Optometrist
Phone
(740) 373-3191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5316 OH Primary

Addresses

Primary practice location

307 4TH St
Marietta, OH 45750-2002

Mailing address

307 4TH St
Marietta, OH 45750-2002
Phone (740) 373-3191

Other identifiers 1

IdentifierTypeStateIssuer
3024033MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1700116365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 4TH ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502002",
            "telephone_number": "740-373-3191",
            "fax_number": "740-373-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 4TH ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502002",
            "telephone_number": "740-373-3191",
            "fax_number": "740-373-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS FAMILY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "740-373-3191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3024033",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.