Jenna Lace McBride, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4660 Issued in OR

Practice address

10225 SW Hall Blvd Ste 101
Tigard, OR 97223-8855

Phone

(032) 441-0045

Fax

(503) 244-1006

NPI assigned

May 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jenna Lace Buckley Former name

Medicare fee-for-service enrollment

Enrolled in CA, OR2 enrollments

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 2

Specialty

Optometry

Education

University of California - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jenna McBride OD LLCGroup PAC ID 6901267442, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Oregon Optometry and Contact Lenses LLC

  • Optometrist
  • Tigard, OR
  • NPI 1104500651
  Medicare reassignment Care Compare group NPD Authorized official
• Larry R Fabian & Jeffrey M Fanelli PTRS Westside Family Vision Center

  dba Saratoga Vision Center

  • Optometrist
  • Saratoga, CA
  • NPI 1255406690
  Medicare reassignment NPD
• Silicon Valley Eyecare Optometry and Contact Lenses

  • Optometrist
  • Santa Clara, CA
  • NPI 1477509560
  Medicare reassignment NPD
• Wayne L Gerig OD

  dba 20/20 Eyecare Professionals

  • Optometrist
  • Tigard, OR
  • NPI 1679744148
  NPD
• Larry R Fabian & Jeffrey M Fannelli PTRS Westside Family Vision Center

  dba Westside Family Vision Center

  • Optometrist
  • San Jose, CA
  • NPI 1518061159
  NPD
• Peter W Ross OD & Larry K Wan OD Inc

  dba Family Eyecare Center

  • Optometrist
  • Campbell, CA
  • NPI 1679601066
  NPD

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1952890097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 SW HALL BLVD STE 101",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238855",
            "telephone_number": "503-244-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 SW HALL BLVD STE 101",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238855",
            "telephone_number": "032-441-0045",
            "fax_number": "503-244-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "JENNA",
        "middle_name": "LACE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33999",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "BUCKLEY",
            "middle_name": "LACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Maza, PHARM.D.
• Mary Wairimu Mbugua
• Theresa Ann McAdoo, O.D.
• Bradley McAllister, DDS,PHD
• Valerie McArthur-Burton, LCSW
• Meagan McBride
• Sarah Nippelle McBride
• Alyssa McCallister, MS, CCC-SLP
• McCallum Psychiarty LLC
• Matt McCally

• Optometrist in Tigard, OR
• Providers in Tigard, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.