Active NPI
Harold L Jennings, O.D.
- Optometrist
- Reidsville, NC
National Provider Identifier
1922051309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0797
- Practice address
- 1203 Northup St
Reidsville, NC 27320-5511 - Phone
- (336) 342-3159
- Fax
- (336) 349-2277
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0797 | NC | Primary |
Addresses
Primary practice location
1203 Northup St
Reidsville, NC 27320-5511
Mailing address
PO Box 367
Reidsville, NC 27323-0367
Phone (336) 342-3159
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909452 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0797 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Harold L Jennings | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Reidsville, NC
- NPI 1235398124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1922051309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 367",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273230367",
"telephone_number": "336-342-3159",
"fax_number": "336-349-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 NORTHUP ST",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205511",
"telephone_number": "336-342-3159",
"fax_number": "336-349-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "HAROLD",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "0797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909452",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reidsville, NC
- Ajay Jariwala, PHARM.D.
- Thulasi Priya Jayaprakash, MD
- Jayo's Wave Transportation LLP
- Cheryl Ridley Jenkins
- Mark A Jenkins, M.D.
- Jewel Community Care LLC
- Jewel Home Health Care LLC
- John & Jennerine Enterprise, Inc (Life Turn Community Support)
- John & Jennerine Enterprise, Inc. (Life Turn)
- John & Jennerine Enterprise, Inc. (Life Turn Group Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.