Individual provider Active NPI

Jennifer Patterson, O.D.

  • Optometrist
  • Frisco, TX
National Provider Identifier
1942351457
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5251TG Issued in TX
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031126000495 TX Practitioner - Optometry 9436054822 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
5251TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Works Eyecare, P.a. Optometrist CurrentSince Jan 2, 2012 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

Verify at the official NPI Registry.