MRS. COLLEEN MARY RAE-JENKINS (NPI# 1013204619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013204619 |
| Entity Type | Individual |
| Full Name | MRS. COLLEEN MARY RAE-JENKINS |
| Credential | O.D. |
| Practice Address |
25 Monument Rd Ste 297 York PA 17403-5049 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7177416732 |
| Practice Fax Number | 7177416058 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG002464 | PA | Eye and Vision Services Providers |
| Street Address |
25 MONUMENT RD STE 297 |
| City | YORK |
| State | PA |
| Zip Code | 17403-5049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790315653 | Wellspan Medical Group | Ophthalmology | 25 Monument Rd Ste 297, York, PA 17403-5049 | 2020-01-20 |
| 1427561570 | Katherine Grace Homa | Optometrist | 25 Monument Rd Ste 297, York, PA 17403-5049 | 2017-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113286 | Maria Frances Defelice | Social Worker | 1902 Woodland Rd, York, PA 17403 | 2020-01-11 |
| 1710524335 | White Deer Run LLC | Community/Behavioral Health | 257 E Market Street, 2nd Floor, York, PA 17403 | 2019-12-02 |
| 1275016917 | Laura Anne Wanenchak | Speech-Language Pathologist | Genesis Rehab Services, 2760 Pine Grove Road, York, PA 17403 | 2018-09-10 |
| 1306355771 | Emily Good | Occupational Therapist | 34 N Albemarle St, York, PA 17403 | 2017-09-28 |
| 1275054983 | Lindsay Sentz | Nurse Anesthetist, Certified Registered | 110 Pine Grove Commons, York, PA 17403 | 2017-07-03 |
| 1649721713 | Omasiel Herenia Comrie-reinert | Nurse Practitioner | 2690 Southfield Dr Ste A, York, PA 17403 | 2016-10-24 |
| 1144675703 | Audrey C Hess | Dietitian, Registered | 35 Monument Rd Suite 202, Wellspan Maternal Fetal Medicine, York, PA 17403 | 2016-05-02 |
| 1346616505 | Joseph A Tolomeo | Psychologist | 807 S. George St, York, PA 17403 | 2015-08-11 |
| 1750798328 | Charles W. Hash Jr. | Surgery | 1400 E. Market St., York, PA 17403 | 2014-07-16 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Find all providers in zip 17403 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724756 | Jax & Rae Optometric | Optometrist | 970 Liberty St E, York, SC 29745-1662 | 2020-03-11 |
| 1043870272 | Jessica Taylor | Optometrist | 351 Loucks Rd Ste B3, York, PA 17404-1782 | 2019-06-19 |
| 1477098622 | Myeyedr. Optometry of Pennsylvania, LLC | Optometrist | 665 Town Center Dr, York, PA 17408-4804 | 2016-12-27 |
| 1588019434 | Melissa Sue Smith | Optometrist | 1880 Kenneth Rd Ste 1, York, PA 17408-6344 | 2016-04-28 |
| 1972997856 | Wyntre Brooke Eye Associates, Inc. | Optometrist | 10 Wyntre Brooke Dr, York, PA 17403-4535 | 2015-03-27 |
| 1295990653 | Lauren Goldberg | Optometrist | 2899 Whiteford Rd Ste 148, York, PA 17402-8914 | 2008-07-25 |
| 1295918233 | York Family Eyecare | Optometrist | 764 Us Route 1, York, ME 03909-5883 | 2007-12-13 |
| 1003016304 | John Mark Snyder | Optometrist | 1945 Queenswood Drive, York, PA 17403-4254 | 2007-07-24 |
| 1588866214 | Melvin Elliott Lubart | Optometrist | 6250 W Manchester Mall, York, PA 17404-4607 | 2007-06-04 |
| 1306981360 | Richard Waingold | Optometrist | 1600 Sixth Ave., Suite 113, York, PA 17403 | 2007-02-20 |
| Find all providers in YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.