Jenniffer Shiple, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009040 Issued in IL

Practice address

24 Orland Square Dr
Pearle Vision
Orland Park, IL 60462-3207

Phone

(708) 403-3555

Fax

(708) 403-6602

NPI assigned

Sep 21, 2005

Last updated

Apr 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jenniffer Heintz Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gervais - Floyd LTDGroup PAC ID 7911147814, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gervais-Floyd, LTD

  dba Pearle Vision

  • Optometrist
  • Orland Park, IL
  • NPI 1154441756
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Illinois, LLC

  dba MyEyeDr.

  • Optometrist
  • Chicago, IL
  • NPI 1245695378
  Medicare reassignment NPD
• Myeyedr Optometry of Illinois, LLC

  • Optometrist
  • Chicago, IL
  • NPI 1154297752
  NPD
• Myeyedr Optometry of Illinois, LLC

  dba MyEyeDr.

  • Optometrist
  • Downers Grove, IL
  • NPI 1851995880
  NPD

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1942296413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 ORLAND SQUARE DR",
            "address_2": "PEARLE VISION",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623207",
            "telephone_number": "708-403-3555",
            "fax_number": "708-403-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 ORLAND SQUARE DR",
            "address_2": "PEARLE VISION",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623207",
            "telephone_number": "708-403-3555",
            "fax_number": "708-403-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLE",
        "first_name": "JENNIFFER",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFFER",
            "last_name": "HEINTZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deann Sheldon, O.D.
• Shelley Skas Ma LCPC SC (Healing Center at Silver Lake Gardens)
• Samruddha Shenoy, PT, MPT
• Sheth Dermatology, P.C.
• Shine in Home Care Inc.
• Nickolas G. Shizas, LCPC
• Rose Shkukani, PT, DPT
• Ahmad M Shuaibi, PMHNP
• Makena Shurance, MA, LPC
• Gregory K Shurilla, DDS

• Optometrist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.