Active NPI
Jennifer Patterson, O.D.
- Optometrist
- Frisco, TX
National Provider Identifier
1942351457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5251TG
- Practice address
- 6842 Lebanon Road
Suite 101
Frisco, TX 75034-7480 - Phone
- (972) 712-7890
- Fax
- (972) 712-3119
- NPI assigned
- Jan 13, 2007
- Last updated
- Jan 10, 2012
- Sex
- Female
- 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 | 5251TG | TX | Primary |
Addresses
Primary practice location
6842 Lebanon Road
Suite 101
Frisco, TX 75034-7480
Mailing address
6842 Lebanon Road
Suite 101
Frisco, TX 75034-7480
Phone (972) 712-7890
Other names 1
- Jennifer L Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6842 Lebanon Rd
Suite 101
Frisco, TX 75034-7480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5251TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Works Eyecare, P.a. | Optometrist | Current | Accepting new patients |
Locations
6842 Lebanon Rd
Ste 101
Frisco, TX 75034
Phone (972) 712-7890
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326153600000",
"number": "1942351457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6842 LEBANON ROAD",
"address_2": "SUITE 101",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347480",
"telephone_number": "972-712-7890",
"fax_number": "972-712-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6842 LEBANON ROAD",
"address_2": "SUITE 101",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347480",
"telephone_number": "972-712-7890",
"fax_number": "972-712-3119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-13",
"last_updated": "2012-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5251TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "JOHNSON",
"middle_name": "L",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.