Individual provider Active NPI

Emilie Jean Jennings, O.D.

  • Optometrist
  • Richmond, IN
National Provider Identifier
1821352832
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003738A Issued in IN
Practice address
1900 Chester Blvd
Richmond, IN 47374-1213
Phone
(765) 962-2020
NPI assigned
Jun 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 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 18003738A IN Primary

Addresses

Primary practice location

1900 Chester Blvd
Richmond, IN 47374-1213

Mailing address

1900 Chester Blvd
Richmond, IN 47374-1213
Phone (765) 962-2020

Other identifiers 2

IdentifierTypeStateIssuer
201082950MedicaidIN
0093864MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20121015000398 IN Practitioner - Optometry 1456501162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whitewater Eye Centers LLCGroup PAC ID 6608914072, 13 clinicians

Practice addresses (Care Compare)

1451 Jason Rd
Greenfield, IN 46140-1039
Phone (888) 788-0001

1900 Chester Blvd
Richmond, IN 47374-1213
Phone (765) 962-2020

Merit-based Incentive Payment System (MIPS)

Final score
83.19 of 100Reported as group
Quality
96.18
Improvement activities
40
Cost
49.06

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
Whitewater Eye Centers LLC Optometrist CurrentSince Aug 6, 2012 Accepting new patients
Whitewater Eye Centers LLC Optometrist Past Accepting new patients

Locations

2045 Virginia Ave
Connersville, IN 47331
Phone (765) 825-0660

1451 Jason Rd
Greenfield, IN 46140
Phone (317) 462-6601

400 W Green Meadows Dr
Ste 108
Greenfield, IN 46140
Phone (317) 477-3937

1900 Chester Blvd
Richmond, IN 47374
Phone (765) 962-2020

6050 State Route 571
Greenville, OH 45331
Phone (937) 547-6050

Interoperability endpoints

  • Direct secure messaging: ejennings@whitewater.intellechartdirect.net
  • Direct secure messaging: ejennings305153@ecommunitydirect.com

Organizations & group practices 2

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": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1821352832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741213",
            "telephone_number": "765-962-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741213",
            "telephone_number": "765-962-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "EMILIE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003738A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201082950",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093864",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.