Jared P Quesenberry, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002125 Issued in VA

Legal business name

JARED P QUESENBERRY, OD, PLLC

Practice address

1332 Lowry St
Bedford, VA 24523-3312

Phone

(540) 586-9575

Fax

(540) 586-0129

NPI assigned

Mar 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jared P Quesenberry, O.D.NPI 1962764076

Title

Owner/Optometrist

Phone

(540) 586-9575

Specialties & licenses 1

Addresses

Other names 1

• Bedford Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared Paul Quesenberry, O.D.

  • Optometrist
  • Bedford, VA
  • NPI 1962764076
  Medicare reassignment Care Compare group NPD Authorized official
• Andrew V Horvath, OD

  • Optometrist
  • Roanoke, VA
  • NPI 1447209929
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1831516608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 LOWRY ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245233312",
            "telephone_number": "540-586-9575",
            "fax_number": "540-586-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 LOWRY ST",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245233312",
            "telephone_number": "540-586-9575",
            "fax_number": "540-586-0129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED P QUESENBERRY, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "QUESENBERRY",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "540-586-9575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedford Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bedford Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Hunter
• Garrett Earnest Hurt, D.D.S.
• Jessica Gwendolyn Hutchind, CPM, LM
• Wayne Hutchison, MD
• Peggy P Ireson, FNP
• Jennifer Alston-Sako, DDS P.C.
• JL Support Services, LLC
• Johnson Health Center
• Johnson Health Center
• Johnson Health Center

• Optometrist in Bedford, VA
• Providers in Bedford, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.