Individual provider Active NPI

Jennifer Leigh Henbest, O.D.

  • Optometrist
  • Traverse City, MI
National Provider Identifier
1710971650
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004192 Issued in MI
Practice address
3200 S Airport Rd W
Traverse City
Traverse City, MI 49684-8117
Phone
(231) 929-7711
Fax
(231) 929-7768
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004192 MI Primary

Addresses

Primary practice location

3200 S Airport Rd W
Traverse City
Traverse City, MI 49684-8117

Mailing address

3200 S Airport Rd W
Traverse City
Traverse City, MI 49684-8117
Phone (231) 929-7711

Other names 1

  • Jennifer Leigh Cohen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20040621001326 MI Practitioner - Optometry 1850376203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nichols Optical IncGroup PAC ID 2466447966, 6 clinicians

Practice addresses (Care Compare)

336 W Front St
Traverse City, MI 49684-2204
Phone (231) 941-7788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nichols Optical Inc Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Luxottica Retail North America Inc Past Accepting new patients

Locations

6800 Eastman Ave
Ste 600
Midland, MI 48642
Phone (989) 832-0890

336 W Front St
Traverse City, MI 49684
Phone (231) 941-5440

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1710971650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 S AIRPORT RD W",
            "address_2": "TRAVERSE CITY",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848117",
            "telephone_number": "231-929-7711",
            "fax_number": "231-929-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S AIRPORT RD W",
            "address_2": "TRAVERSE CITY",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848117",
            "telephone_number": "231-929-7711",
            "fax_number": "231-929-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENBEST",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COHEN",
            "middle_name": "LEIGH",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.