Individual provider Active NPI

Jennifer Gail Martin Maples, O.D.

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1932124146
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD2499 Issued in TN
Practice address
1932 Alcoa Hwy Ste 255
Knoxville, TN 37920-1508
Phone
(865) 244-2020
Fax
(865) 684-1196
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4277 FL
Optometrist 152W00000X OD2499 TN Primary

Addresses

Primary practice location

1932 Alcoa Hwy Ste 255
Knoxville, TN 37920-1508

Mailing address

1932 Alcoa Hwy Ste 255
Knoxville, TN 37920-1508
Phone (865) 244-2020

Other identifiers 1

IdentifierTypeStateIssuer
3945728MedicaidTN

Other names 1

  • Dr. Jennifer Gail Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050223000234 TN Practitioner - Optometry 5496708158 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Eye Specialists, P.C.Group PAC ID 0941278709, 15 clinicians

Practice addresses (Care Compare)

1932 Alcoa Hwy
Suite C255
Knoxville, TN 37920-1508
Phone (865) 244-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4277FLMDOptometrist
OD2499TNMDOptometrist
2569OKMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Eye Specialists, PC CurrentSince Sep 2, 2019 Accepting new patients
University Eye Surgeons, P.C. CurrentSince Sep 2, 2019 Accepting new patients
Dr. Torrey J. Carlson & Associates Optometrist CurrentSince Apr 7, 2024 Accepting new patients
20-10 Optical, LLC PastSince May 23, 2013 Accepting new patients
Miller Eye Care PC Optometrist Past Accepting new patients
Friendly Eyes of North Carolina Optometrist PastSince Apr 7, 2024 Accepting new patients

Locations

2600 E Stone Dr
Ste 10
Kingsport, TN 37660
Phone (865) 217-1010

1932 Alcoa Hwy
Ste 255
Knoxville, TN 37920
Phone (865) 244-2030

5415 Washington Pike
Knoxville, TN 37918
Phone (423) 217-1010

1932 Alcoa Hwy
Ste C255
Knoxville, TN 37920
Phone (865) 244-2020

2547 Willow Point Way
Knoxville, TN 37931
Phone (865) 244-2020

140 Capital Dr
Ste 120
Knoxville, TN 37922
Phone (865) 244-2020

Interoperability endpoints

  • Direct secure messaging: jmaples@universityeye.direct.eyemdemr.com
  • Direct secure messaging: jennifer.maples@uprisedirect.com

Organizations & group practices 6

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1932124146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY STE 255",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201508",
            "telephone_number": "865-244-2020",
            "fax_number": "865-684-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY STE 255",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201508",
            "telephone_number": "865-244-2020",
            "fax_number": "865-684-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPLES",
        "first_name": "JENNIFER",
        "middle_name": "GAIL MARTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4277",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD2499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3945728",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MARTIN",
            "middle_name": "GAIL",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.