Jennifer B Lemmon, OD
Individual provider Active NPI Optometrist · York, SC
NPI 1700987286 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1700987286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- Practice address
- 46 N Congress St
York, SC 29745-1529 - Phone
- (803) 628-5477
- Fax
- (803) 628-5474
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oliver Eye Associates PA | Optometrist | Past | Accepting new patients |
| James-Olivereyecare,LLC | Optometrist | Past | Accepting new patients |
| Carolina Glaucoma and Vision Center | Multi-Specialty | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | SC | Yes |
Addresses
Primary practice location
46 N Congress St
York, SC 29745-1529
Mailing address
46 N Congress St
P O Box 745
York, SC 29745-1529
Phone (803) 628-5477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D12154 | Medicaid | SC |
Other providers in York, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.