Jenny G Terrell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

06419TG Issued in TX

Practice address

1872 Norwood Dr
200
Hurst, TX 76054-3066

Phone

(817) 540-6060

Fax

(817) 553-7994

NPI assigned

Apr 20, 2007

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

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Houston SystemGroup PAC ID 6901896356, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University of Houston System

  • Optometrist
  • Houston, TX
  • NPI 1861493140
  Medicare reassignment Care Compare group NPD
• University of Houston System

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
  • NPI 1972853810
  Care Compare group
• University of Houston

  • Community Health Worker
  • Houston, TX
  • NPI 1366081622
  NPD
• University of Houston System

  • Optometrist
  • Dallas, TX
  • NPI 1174660260
  NPD
• John D. Coble

  • Medical Specialty Clinic/Center
  • Greenville, TX
  • NPI 1851403877

  Optometrist

  NPD (past)
• Texas Eye Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Hurst, TX
  • NPI 1750468583
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1710104435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 NORWOOD DR",
            "address_2": "200",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543066",
            "telephone_number": "817-540-6060",
            "fax_number": "817-553-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 NORWOOD DR",
            "address_2": "200",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543066",
            "telephone_number": "817-540-6060",
            "fax_number": "817-553-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "JENNY",
        "middle_name": "G",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06419TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Talancon
• Tarrant County Oral and Maxillofacial Surgery LLC
• Debra Renea Taylor-Smith, M.S.
• James Norman Taylor, D.C.
• Lauren Estelle Taylor
• Texas Anesthesia Group PLLC
• Texas Eye and Laser Center, PA
• Texas Eye Surgery Center, LLC
• Texas Familicare Medical Group PLLC
• Texas Pain Relief Group PLLC

• All providers in Hurst, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.