Individual provider Active NPI

Jennifer J Brandon, O.D.

  • Optometrist
  • Trotwood, OH
National Provider Identifier
1962790055
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6075-T2990 Issued in OH
Practice address
5274 Salem Ave
Trotwood, OH 45426-1702
Phone
(937) 837-3937
Fax
(937) 815-1067
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6075-T2990 OH Primary

Addresses

Primary practice location

5274 Salem Ave
Trotwood, OH 45426-1702

Mailing address

5274 Salem Ave
Trotwood, OH 45426-1702
Phone (937) 837-3937

Other identifiers 2

IdentifierTypeStateIssuer
0050746MedicaidOH
6075-T2990OtherOHOHIO OPTOMETRY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110811000508 OH Practitioner - Optometry 5496924243 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Five Rivers Health Centers 45 clinicians
Family First Vision Care Kentucky LLC 19 clinicians

Practice addresses (Care Compare)

1923 W 3Rd St
Dayton, OH 45417-2565
Phone (937) 281-6800

5274 Salem Ave
Trotwood, OH 45426-1702
Phone (937) 837-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6075-T2990OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Claffie and Associates Optometrist CurrentSince Jun 22, 2019 Accepting new patients
Dr Claffie and Associates Optometrist CurrentSince Jun 22, 2019 Accepting new patients
Family First Vision Care, LLC Optometrist CurrentSince Jan 29, 2026 Accepting new patients
Five Rivers Health Centers CurrentSince Jan 27, 2020 Accepting new patients
Five Rivers Health Centers Current Accepting new patients
Family First Vision Care Kentucky, LLC Optometrist CurrentSince Jan 29, 2026 Accepting new patients

Locations

721 Miami Chapel Rd
Dayton, OH 45417
Phone (937) 281-5970

2735 Miamisburg Centerville Rd
Dayton, OH 45459
Phone (937) 399-4060

2261 Philadelphia Dr
Dayton, OH 45406
Phone (937) 281-6800

4419 Walnut St
#F117
Dayton, OH 45440
Phone (937) 476-1899

316 S Hamilton Rd
Gahanna, OH 43230

368 S Hamilton Rd
Gahanna, OH 43230
Phone (614) 478-5030

402 Premium Outlets Dr
Monroe, OH 45050
Phone (513) 360-0113

5274 Salem Ave
Trotwood, OH 45426
Phone (937) 837-3937

Interoperability endpoints

  • Direct secure messaging: jenniferbrandon@direct.eyecare-partners.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1962790055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5274 SALEM AVE",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454261702",
            "telephone_number": "937-837-3937",
            "fax_number": "937-815-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5274 SALEM AVE",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454261702",
            "telephone_number": "937-837-3937",
            "fax_number": "937-815-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6075-T2990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050746",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO OPTOMETRY LICENSE",
            "identifier": "6075-T2990",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trotwood, OH

Sources for this page

Verify at the official NPI Registry.