Individual provider Active NPI

Jennifer Loar, OD

  • Optometrist
  • Sebastian, FL
National Provider Identifier
1942379540
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP0003138 Issued in FL
Practice address
7785 144TH St Ste A2A
Sebastian, FL 32958-3207
Phone
(772) 589-8654
Fax
(772) 581-3870
NPI assigned
Nov 7, 2006
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP0003138 FL Primary

Addresses

Primary practice location

7785 144TH St Ste A2A
Sebastian, FL 32958-3207

Mailing address

7785 144TH St Ste A2A
Sebastian, FL 32958-3207
Phone (772) 589-8654

Other identifiers 2

IdentifierTypeStateIssuer
410049883OtherFLRR MEDICARE
20862OtherFLBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100503000164 FL Practitioner - Optometry 8426097775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennifer L. Loar OD PAGroup PAC ID 2062451305, 3 clinicians

Practice addresses (Care Compare)

7785 144TH St
Sebastian, FL 32958-3207

7785 144TH St
Suite A2A
Sebastian, FL 32958-3281
Phone (772) 589-8654

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP0003138FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer L. Loar OD PA Optometrist CurrentSince Jan 1, 2002 Accepting new patients

Locations

2001 US Highway 1
Sebastian, FL 32958
Phone (772) 589-7337

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1942379540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7785 144TH ST STE A2A",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583207",
            "telephone_number": "772-589-8654",
            "fax_number": "772-581-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7785 144TH ST STE A2A",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583207",
            "telephone_number": "772-589-8654",
            "fax_number": "772-581-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOAR",
        "first_name": "JENNIFER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP0003138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410049883",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "20862",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

Verify at the official NPI Registry.