NPIMap

Organization Active NPI

Jennings Eye Associates, P.C.

  • Optometrist
  • Columbia, MO
National Provider Identifier
1871649020
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JENNINGS EYE ASSOCIATES, P.C.
Practice address
305 N Keene St
Suite 205
Columbia, MO 65201-6897
Phone
(573) 499-9949
Fax
(573) 499-9950
NPI assigned
Jan 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. David Michael Jennings Jr., O.D.NPI 1376614404
Title
President
Phone
(573) 499-9949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

305 N Keene St
Suite 205
Columbia, MO 65201-6897

Mailing address

305 N Keene St
Suite 205
Columbia, MO 65201-6897
Phone (573) 499-9949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040218000259 MO Part B Supplier - Clinic/Group Practice 0749175859 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory

Locations

305 N Keene St
Ste 205
Columbia, MO 65201
Phone (573) 499-9949

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1871649020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N KEENE ST",
            "address_2": "SUITE 205",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016897",
            "telephone_number": "573-499-9949",
            "fax_number": "573-499-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N KEENE ST",
            "address_2": "SUITE 205",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016897",
            "telephone_number": "573-499-9949",
            "fax_number": "573-499-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNINGS EYE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-499-9949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.