Active NPI
Jennifer Marshall Jaikaran, O.D.
- Optometrist
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 002111
- Practice address
- 3975 Old Milton Pkwy
Alpharetta, GA 30005-4467 - Phone
- (678) 624-7766
- Fax
- (678) 624-7775
- NPI assigned
- Jun 18, 2006
- Last updated
- Jun 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 4030 | FL | |
| Optometrist | 152W00000X | OPT 002111 | GA | Primary |
Addresses
Primary practice location
3975 Old Milton Pkwy
Alpharetta, GA 30005-4467
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other practice location 1
3975 Old Milton Pkwy
Alpharetta, GA 30005-4467
Phone (678) 624-7766
Other practice location 2
6750 Jamestown Drive
Alpharetta, GA 30005
Phone (678) 691-0073
Other names 1
- Dr. Jennifer Karen Marshall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3975 Old Milton Pkwy
Suite 2
Alpharetta, GA 30005-4467
Phone (678) 624-7766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 4030 | FL | MD | Optometrist |
| OPT 002111 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
Locations
3975 Old Milton Pkwy
Ste 2
Alpharetta, GA 30005
Phone (678) 624-7766
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
5940 Roswell Rd
Sandy Springs, GA 30328
Phone (404) 467-0717
1000 Peachtree Industrial Blvd
Suwanee, GA 30024
Phone (770) 271-0611
1000 Peachtree Industrial Blvd
Ste 14
Suwanee, GA 30024
Phone (770) 271-0611
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 5
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": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1922043496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3975 OLD MILTON PKWY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054467",
"telephone_number": "678-624-7766",
"fax_number": "678-624-7775"
}
],
"practiceLocations": [
{
"address_1": "3975 Old Milton Pkwy",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300054467",
"country_code": "US",
"telephone_number": "678-624-7766",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6750 Jamestown Drive",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "30005",
"country_code": "US",
"telephone_number": "678-691-0073",
"fax_number": "888-707-4495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAIKARAN",
"first_name": "JENNIFER",
"middle_name": "MARSHALL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4030",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT 002111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MARSHALL",
"middle_name": "KAREN",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.