Jennifer Supple Jones, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2638 Issued in TN

Practice address

7535 Poplar Ave Ste 101
Germantown, TN 38138-3886

Phone

(901) 930-0870

Fax

(901) 930-0875

NPI assigned

Apr 28, 2009

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

Other names 1

• Jennifer Jones Other name

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Optometry

Education

Southern College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seth Salley Enterprises LLCGroup PAC ID 8527378991, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Seth Salley Enterprises, LLC

  • Optometrist
  • Memphis, TN
  • NPI 1144690827
  Medicare reassignment Care Compare group
• Jones Vision Care, LLC

  • Optometrist
  • Germantown, TN
  • NPI 1891487286
  NPD Authorized official
• Christopher Andrew Clarke

  • Optometrist
  • Memphis, TN
  • NPI 1891988689
  NPD (past)
• See Inc

  • Optometrist
  • Germantown, TN
  • NPI 1942732839
  NPD (past)

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1861636342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10356 TWISTING PINE LN",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380024685",
            "telephone_number": "901-550-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 POPLAR AVE STE 101",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383886",
            "telephone_number": "901-930-0870",
            "fax_number": "901-930-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JENNIFER",
        "middle_name": "SUPPLE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JONES",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jones Vision Care, LLC
• Austin Edward Jones, L.C.S.W
• Chera Jones
• Chereathia Charmaine Jones, SPEECH LANGUAGE PATH
• Jamaca Jones
• Jonathan Eli Jones, MD
• Kimberly Jones, CRNA
• Kimberly T Jones, NP-C
• Michael Jones
• Rachel Jones

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.