Individual provider Active NPI

Jennifer Megan Chervenak, DOCTOR OF OPTOMETRY

  • Optometrist
  • Vineland, NJ
National Provider Identifier
1861915381
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00674200 Issued in NJ
Practice address
3849 S Delsea Dr
Vineland, NJ 08360-7408
Phone
(856) 825-8999
NPI assigned
Jul 18, 2017
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00674200 NJ Primary

Addresses

Primary practice location

3849 S Delsea Dr
Vineland, NJ 08360-7408

Mailing address

3849 S Delsea Dr
Vineland, NJ 08360-7408
Phone (856) 825-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20251104003992 FL Practitioner - Optometry 6305107327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17 Yosemite Rd
Howell, NJ 07731-9046

4000 Luxottica PL
Mason, OH 45040-8114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Friendly Eyes Optometry LLC CurrentSince Sep 20, 2025 Accepting new patients
Dietrich Opticians, PA Past Accepting new patients
Charles M Cummins OD PA Optometrist PastSince Jan 3, 2018 Accepting new patients

Locations

1808 W International Speedway Blvd
Ste 502
Daytona Beach, FL 32114
Phone (386) 255-1541

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1861915381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 S DELSEA DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607408",
            "telephone_number": "856-825-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 S DELSEA DR",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607408",
            "telephone_number": "856-825-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERVENAK",
        "first_name": "JENNIFER",
        "middle_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF OPTOMETRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00674200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.