Individual provider Active NPI

Jenna Bayer, OD

  • Optometrist
  • Mentor, OH
National Provider Identifier
1942022611
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007341 Issued in OH
Practice address
7240 Center St
Mentor, OH 44060-4908
Phone
(440) 953-2020
NPI assigned
Oct 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007341 OH Primary

Addresses

Primary practice location

7240 Center St
Mentor, OH 44060-4908

Mailing address

2883 Lamplight LN
Willoughby Hills, OH 44094-9147
Phone (440) 376-9473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250211002467 OH Practitioner - Optometry 9537699251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

77 Normandy Dr
Suite 1
Painesville, OH 44077-1608
Phone (440) 352-0616

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Nov 22, 2024 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Nov 22, 2024 Accepting new patients
Great Lakes Eyecare, LLC Optometrist PastSince Oct 27, 2024 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

77 Normandy Dr
Painesville, OH 44077
Phone (440) 352-0616

77 Normandy Dr
Ste 1
Painesville, OH 44077
Phone (440) 352-0616

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

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": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1942022611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2883 LAMPLIGHT LN",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949147",
            "telephone_number": "440-376-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 CENTER ST",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604908",
            "telephone_number": "440-953-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYER",
        "first_name": "JENNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.