Jolene Fenske, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2001019421 Issued in MO

Practice address

101 N Range Line Rd
Northpark Eyecare, Ste.186
Joplin, MO 64801-4118

Phone

(417) 782-9151

NPI assigned

Jul 27, 2005

Last updated

Apr 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MO

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Springfield Eyecare, LLC

  • Optometrist
  • Springfield, MO
  • NPI 1730370305
  Medicare reassignment NPD
• Dorlon Optical LLC

  dba Pearle Vision

  • Eyewear Supplier
  • Branson, MO
  • NPI 1699958108
  NPD (past)

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1760482228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 S GLENSTONE AVE",
            "address_2": "STE 113",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043728",
            "telephone_number": "417-529-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N RANGE LINE RD",
            "address_2": "NORTHPARK EYECARE, STE.186",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648014118",
            "telephone_number": "417-782-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENSKE",
        "first_name": "JOLENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2001019421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Feagan, PHARM.D
• Charles A. Featherly, D.O.
• Brandon Lee Feathers
• Katelyn Nicole Felt
• Angela Jean Fenske, LCSW
• Justin Fensky
• Tori L Fenton
• Ferguson Medical Laboratories Inc
• Jill Ferguson, COTA
• Matt Ferguson

• Optometrist in Joplin, MO
• Providers in Joplin, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.

Verify at the official NPI Registry.