Jennifer Willcox, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3396 Issued in TN

Practice address

2817 Bartlett Blvd
Bartlett, TN 38134-4529

Phone

(901) 371-0770

Fax

(901) 371-9892

NPI assigned

Dec 31, 2017

Last updated

Apr 1, 2022By 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

• Jennifer Allen Other name

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Tennessee LLCGroup PAC ID 1759646995, 45 clinicians

VRF Eye Specialty Group, PLCGroup PAC ID 2264328723, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.7 of 100Reported as group

Quality

86.03

Improvement activities

40

Cost

74.63

Medicare enrollment (NPD)

Enrolled

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 Tennessee, LLC

  dba MyEyeDr.

  • Optometrist
  • Chattanooga, TN
  • NPI 1619481587
  Medicare reassignment Care Compare group NPD
• VRF Eye Specialty Group, PLC

  • Ophthalmology Physician
  • Memphis, TN
  • NPI 1699729806

  MS, Optometrist

  Medicare reassignment Care Compare group NPD
• Peter B Benvenuto, OD

  • Optometrist
  • Bartlett, TN
  • NPI 1992770416
  Medicare reassignment
• Myeyedr Optometry of Tennessee, LLC

  dba MyEyeDr

  • Optometrist
  • Humboldt, TN
  • NPI 1477020923
  NPD
• Myeyedr Optometry of Tennessee, LLC

  • Optometrist
  • Mount Juliet, TN
  • NPI 1588516918
  NPD
• VRF Eye Specialty Group, PLC

  • Optometrist
  • Hernando, MS
  • NPI 1255954863
  NPD
• Dr. Peter Benvenuto

  • Durable Medical Equipment & Medical Supplies
  • Bartlett, TN
  • NPI 1184892259
  NPD (past)

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

{
    "created_epoch": "1514678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1851808794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 BARTLETT BLVD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344529",
            "telephone_number": "901-371-0770",
            "fax_number": "901-371-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLCOX",
        "first_name": "JENNIFER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-31",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ALLEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marla Whitfield, FNP
• Russell Whitten, DPT
• Kristen Wiginton, BCBA
• William D Wilcox, MD
• Christopher Z Wilkinson, N.P.
• Williams 1Stop Laboratory Services, LLC
• Williams Psychiatric Services, LLC
• Ben Richard Williams, DDS
• Deidra Rachelle Williams, LPN
• Ginger Marie Williams, CRNA, PMHNP-BC

• Optometrist in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.