Individual provider Active NPI

Jenna Kim Treiber, O.D

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1740698307
Registry record updated Aug 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2009 Issued in AZ
Practice address
3788 S 16TH Ave
Tucson, AZ 85713-6079
Phone
(520) 388-9741
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2009 AZ Primary

Addresses

Primary practice location

3788 S 16TH Ave
Tucson, AZ 85713-6079

Mailing address

3788 S 16TH Ave
Tucson, AZ 85713-6079
Phone (520) 388-9741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20141014001651 AZ Practitioner - Optometry 7618198722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sean J. McCafferty, MD, PC CurrentSince Jul 2, 2018 Accepting new patients
Christopher M Seniw MD PC PastSince Nov 11, 2002 Accepting new patients
Cornea Associates, PLLC PastSince Jun 1, 2004 Accepting new patients

Locations

6422 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 325-9400

2177 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 797-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408233600000",
    "number": "1740698307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3788 S 16TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136079",
            "telephone_number": "520-388-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3788 S 16TH AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136079",
            "telephone_number": "520-388-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREIBER",
        "first_name": "JENNA",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.