Individual provider Active NPI

Jenna Quasmieh, OD

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1821668823
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003802 Issued in PA
Practice address
2301 E Allegheny Ave
Philadelphia, PA 19134
Phone
(215) 291-2194
NPI assigned
Jun 30, 2021
Last updated
Jul 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00707200 NJ
Optometrist 152W00000X OEG003802 PA Primary

Addresses

Primary practice location

2301 E Allegheny Ave
Philadelphia, PA 19134

Mailing address

1 Overlook Way
Lawrenceville, NJ 08648-4840
Phone (609) 895-1224

Other practice location 1

1725 Klockner Rd
Hamilton, NJ 08619
Phone (609) 586-6700

Other practice location 2

3046 Knights Rd
Bensalem, PA 19020
Phone (215) 798-0447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27OA00707200NJMDOptometrist
OEG003802PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1821668823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OVERLOOK WAY",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484840",
            "telephone_number": "609-895-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19134",
            "telephone_number": "215-291-2194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Klockner Rd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "08619",
            "country_code": "US",
            "telephone_number": "609-586-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3046 Knights Rd",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "19020",
            "country_code": "US",
            "telephone_number": "215-798-0447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUASMIEH",
        "first_name": "JENNA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00707200",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.