Individual provider Active NPI

Jennifer Eleftheriou Owen, OPTOMETRIST OD

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1922070028
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2505 Issued in CO
Practice address
1130 Lake Plaza Dr
Ste 230
Colorado Springs, CO 80906-3594
Phone
(719) 219-3819
Fax
(719) 219-0411
NPI assigned
Feb 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2505 CO Primary

Addresses

Primary practice location

1130 Lake Plaza Dr
Ste 230
Colorado Springs, CO 80906-3594

Mailing address

9806 Rockingham Dr
Peyton, CO 80831-6440
Phone (719) 322-3557

Other names 1

  • Ms. Jennifer Lynn Eleftheriou Former name

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
I20260218002064 FL Practitioner - Optometry 2567511991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7828 Winter Garden Vineland Rd
Suite 128
Windermere, FL 34786-5933
Phone (407) 876-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2505COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Quachle LLC Optometrist CurrentSince Jan 12, 2026 Accepting new patients
Thuy Tran Quach O D P a Optometrist CurrentSince Jan 12, 2026 Accepting new patients
Abba Eye Care PC Optometrist Past Accepting new patients

Locations

7828 Winter Garden Vineland Rd
Ste 128
Windermere, FL 34786
Phone (407) 614-8796

15996 New Independence Pkwy
Ste 100
Winter Garden, FL 34787
Phone (407) 877-0008

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1922070028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9806 ROCKINGHAM DR",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808316440",
            "telephone_number": "719-322-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 LAKE PLAZA DR",
            "address_2": "STE 230",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063594",
            "telephone_number": "719-219-3819",
            "fax_number": "719-219-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JENNIFER",
        "middle_name": "ELEFTHERIOU",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ELEFTHERIOU",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.