Jennifer Leigh Place, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5330000086 Issued in MI

Practice address

2550 S Telegraph Rd
Suite 100
Bloomfield Hills, MI 48302-0950

Phone

(248) 258-9000

Fax

(248) 499-6372

NPI assigned

Apr 10, 2007

Last updated

Apr 29, 2015By the provider in NPPES

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 identifiers 3

Other names 1

• Mrs. Jennifer Leigh Prybyla Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J. Leung PLLCGroup PAC ID 3173683232, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J. Leung PLLC

  dba Accent Eyecare

  • Optometrist
  • Rochester Hills, MI
  • NPI 1285880401
  Medicare reassignment Care Compare group NPD
• Vision Specialists of Birmingham, PLLC

  dba Vision Specialists of Michigan

  • Optometrist
  • Bloomfield Hills, MI
  • NPI 1356488597
  Medicare reassignment
• Eyewear Detroit Company

  dba Shelby Eyecare

  • Optometrist
  • Shelby TWP, MI
  • NPI 1871027409
  NPD (past)
• Fraser Optical Clinic, Inc.

  • Optometrist
  • Fraser, MI
  • NPI 1447326244
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1982727111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020950",
            "telephone_number": "248-258-9000",
            "fax_number": "248-499-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 S TELEGRAPH RD",
            "address_2": "SUITE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020950",
            "telephone_number": "248-258-9000",
            "fax_number": "248-499-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLACE",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "5330000086",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901004123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGAN HEALTHCARE",
            "identifier": "1GV09539",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "JP004123",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0E04240",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PRYBYLA",
            "middle_name": "LEIGH",
            "prefix": "MRS.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Albert Pierce, MD
• Cathy Joan Pietrofesa, PH.D.
• John Joseph Pietrofesa, ED.D.
• Rossitza Prokopieva Pironkova, M.D.
• Jennifer Rebecca Pitts, DPT
• Mark A Pleatman, M.D.
• Patricia Ann Plopa, PH.D.
• PMN Consulting Inc
• Pocs Counseling and Psychiatric Services PC (Unified Behavioral Health)
• Kirsten Marie Podvin, NP-C

• Optometrist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.