Active NPI
Jessica Nichole Dennis, O.D.
- Optometrist
- Sparks, NV
National Provider Identifier
1720368756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 715
- Practice address
- 2855 N McCarran Blvd Ste 105
Sparks, NV 89431-1887 - Phone
- (775) 354-0400
- Fax
- (775) 502-4552
- NPI assigned
- Aug 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 715 | NV | Primary |
Addresses
Primary practice location
2855 N McCarran Blvd Ste 105
Sparks, NV 89431-1887
Mailing address
2855 N McCarran Blvd Ste 105
Sparks, NV 89431-1887
Phone (775) 354-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230718000471 | NV | Practitioner - Optometry | 2860747003 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1720368756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 N MCCARRAN BLVD STE 105",
"city": "SPARKS",
"state": "NV",
"postal_code": "894311887",
"telephone_number": "775-354-0400",
"fax_number": "775-502-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 N MCCARRAN BLVD STE 105",
"city": "SPARKS",
"state": "NV",
"postal_code": "894311887",
"telephone_number": "775-354-0400",
"fax_number": "775-502-4552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "JESSICA",
"middle_name": "NICHOLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2023-04-19",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sparks, NV
- Leslie Lynne Demers, O.D.
- Scott Hulme Demers, O.D.
- Denis G Patterson D O P C (Nevada Advanced Pain Specialists)
- Mary Kyran Denney, D.C.
- Hannah Dennis
- Grant Logan Denny, MSOT, OTR/L
- Jamie Denucci
- Tony J. Depaoli, D.D.S.
- Desert Orchid Health (Silver State Counseling and Psychiatry)
- Desert Valley Dental of Sparks Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.