Individual provider Active NPI

Jennifer Bruning Ledford, O.D.

  • Optometrist
  • Bristol, VA
National Provider Identifier
1770714537
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001872 Issued in VA
Practice address
1701 Euclid Ave
Bristol, VA 24201-3700
Phone
(276) 466-4227
NPI assigned
Jul 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2903 TN
Optometrist 152W00000X 0618001872 VA Primary

Addresses

Primary practice location

1701 Euclid Ave
Bristol, VA 24201-3700

Mailing address

1701 Euclid Ave
Bristol, VA 24201-3700
Phone (276) 466-4227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20101012000162 TN Practitioner - Optometry 5496947228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eyecare Center, PLLC 3 clinicians

Practice addresses (Care Compare)

629 Broad St
Elizabethton, TN 37643-2221
Phone (423) 543-7376

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Torrey J. Carlson & Associates Optometrist CurrentSince Jun 1, 2014 Accepting new patients
Family Eyecare Center, PLLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Douglas R. Weberling O.D. PC Optometrist PastSince Jan 8, 1990 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

629 Broad St
Elizabethton, TN 37643
Phone (423) 543-7376

2101 Fort Henry Dr
Kingsport, TN 37664
Phone (423) 246-1585

2101 Fort Henry Dr
Spc E9
Kingsport, TN 37664
Phone (423) 246-1416

2600 E Stone Dr
Ste 10
Kingsport, TN 37660
Phone (865) 217-1010

11289 Parkside Dr
Spc 1108
Knoxville, TN 37934
Phone (865) 217-1010

7600 Kingston Pike
Ste 1480
Knoxville, TN 37919
Phone (865) 217-1010

Interoperability endpoints

  • Direct secure messaging: jennifer.ledford@direct.revolutionehr.com

Organizations & group practices 4

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": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1770714537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013700",
            "telephone_number": "276-466-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 EUCLID AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242013700",
            "telephone_number": "276-466-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDFORD",
        "first_name": "JENNIFER",
        "middle_name": "BRUNING",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2903",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

Verify at the official NPI Registry.