Jennifer Lynn Degon, ABOC

Primary specialty

Optometric TechnicianTaxonomy code 156FX1202X

Practice address

126 Missouri Ave
Fort Leonard Wood, MO 65473-8952

Phone

(573) 596-0048

Fax

(573) 596-0716

NPI assigned

Aug 25, 2010

Last updated

Aug 25, 2010By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1700192937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N ELLEN ST",
            "city": "DIXON",
            "state": "MO",
            "postal_code": "654596307",
            "telephone_number": "573-596-0048",
            "fax_number": "573-596-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 MISSOURI AVE",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654738952",
            "telephone_number": "573-596-0048",
            "fax_number": "573-596-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "ABOC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1202X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudette Mary Daumont Ortiz
• Joshua Ray Davis, LCSWA
• Kristen Davis, REGISTERED NURSE
• Katelyn Deaderick, APRN, FNP-C
• Nathan D Dederman, OD, FAAO
• Tyler Deloach, PHARMD
• Jessie Marie Dickinson, RD, LD
• Samantha Renee Dickow, LPCC
• Angela Renee Diebal-Lee, DPT, DSC, OCS, SCS
• Teresa Anne Distler, NP-C

• Technician/Technologist in Fort Leonard Wood, MO
• Providers in Fort Leonard Wood, MO by specialty
• Technician/Technologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.