Kristen Taylor Jacobsen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2639 Issued in NC

Practice address

306 Muirs Chapel Rd Ste B
Greensboro, NC 27410-6178

Phone

(336) 854-0066

Fax

(336) 252-1053

NPI assigned

Mar 10, 2021

Last updated

Aug 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Taylor Dunn Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of North Carolina PLLCGroup PAC ID 6608019096, 167 clinicians

Star Optometry NC PLLCGroup PAC ID 0749638666, 4 clinicians

Peter K Dunn OD PAGroup PAC ID 8729102264, 2 clinicians

Practice addresses (Care Compare)

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.

• Myeyedr Optometry of North Carolina, PLLC

  dba MyEyeDr

  • Optometrist
  • Charlotte, NC
  • NPI 1023183563
  Medicare reassignment Care Compare group NPD
• Peter K. Dunn, O.D., P.a.

  • Optometrist
  • Greensboro, NC
  • NPI 1194031211
  Medicare reassignment Care Compare group NPD
• Star Optometry NC PLLC

  dba InFocus Eyecare

  • Optometrist
  • Greensboro, NC
  • NPI 1346947579
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Monroe, NC
  • NPI 1407737182
  NPD
• Myeyedr Optometry of North Carolina, PLLC

  dba Myeyedr

  • Optometrist
  • Burlington, NC
  • NPI 1942603196
  NPD
• Myeyedr Optometry of North Carolina

  dba MyEyeDr

  • Optometrist
  • Charlotte, NC
  • NPI 1700851045
  NPD (past)

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1780269969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MUIRS CHAPEL RD STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106178",
            "telephone_number": "336-854-0066",
            "fax_number": "336-252-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MUIRS CHAPEL RD STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106178",
            "telephone_number": "336-854-0066",
            "fax_number": "336-252-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSEN",
        "first_name": "KRISTEN",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "DUNN",
            "middle_name": "TAYLOR",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bret Charles Jacobs, D.O.
• Brianna Kaitlin Jacobs
• Caitlin Megan Jacobs, FNP-C
• Christopher Dewayne Jacobs
• Daniel Patrick Jacobs, MD
• Anyela Jacome Ceron
• Sam Jacubowitz, MD
• Tomasita Rivera Jacubowitz, N.P.
• Jade Comprehensive Habilitative Services LLC (Bright and Early Learning)
• Beth Harris Jaekle, RN

• Optometrist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.