Jennifer Lynn Hunsader, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5000 Issued in FL

Practice address

880 A1A N Ste 13
Ponte Vedra Beach, FL 32082-3228

Phone

(904) 686-1386

Fax

(904) 686-1363

NPI assigned

Jul 28, 2009

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eye Boutique, LLC

  • Optometrist
  • Crystal Lake, IL
  • NPI 1679721591
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1851522643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 A1A N STE 13",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823228",
            "telephone_number": "904-686-1386",
            "fax_number": "904-686-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 A1A N STE 13",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823228",
            "telephone_number": "904-686-1386",
            "fax_number": "904-686-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNSADER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Hood, LMHC
• Michael A. Horne, CRNA
• Gilbert Houston, OD
• Ronald W. Howland Jr., DMD
• Kelly Huber, D.C.
• Vallery F Huston
• Kai Elizabeth Hutson, LMHC
• Vivien Huynh, APRN
• Phyllis Ingram, LMHC
• Innovative Therapy Solutions Inc (Innovative Physical Therapy)

• Optometrist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.