DR. JENNIFER MICHELLE POWELL (NPI# 1437209913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437209913 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MICHELLE POWELL |
| Credential | O.D. |
| Practice Address |
3115 Academy Rd Durham NC 27707 |
| Mailing Address |
3115 Academy Rd Durham NC 27707-2652 |
| Practice Telephone | 9194937456 |
| Practice Fax Number | 9194931718 |
| Mailing Telephone | 9194937456 |
| Mailing Fax Number | 9194931718 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2043 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5905982 | 05 | |
| NC | BCBS PIN | 093V0 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 910 Martin Luther King Jr Blvd Ste 100, Chapel Hill, NC 275142655 | 9199428531 | 9199420719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255706792 | Jennifer Powell | Specialist/Technologist | 11432 Raystown Rd, Huntingdon, PA 16652-7439 | 2015-12-09 |
| 1437561362 | Jennifer Michelle Powell | Social Worker | 498 W 159th St, Apt 4b, New York, NY 10032-6311 | 2014-05-27 |
| 1174856819 | Jennifer Sue Powell | Social Worker | 401 Tuscarawas St W, Suite 501, Canton, OH 44702-2042 | 2009-09-14 |
| 1619109832 | Jennifer Jolene Powell | Speech-Language Pathologist | 25 Yorkshire Ln, Westampton, NJ 08060-6726 | 2009-08-20 |
| 1124131966 | Jennifer Melissa Powell | Family Medicine | 3761 N State Route 1 17, Momence, IL 60954-2400 | 2006-08-16 |
| 1376027615 | Jennifer Powell | Pharmacist | 504 S Washington St, Chillicothe, MO 64601-3038 | 2018-09-22 |
| 1437640265 | Jennifer Lynn Powell | Behavioral Analyst | 3074 Hickory Valley Rd, Chattanooga, TN 37421-1273 | 2018-05-29 |
| 1659880516 | Jennifer Winn Powell | Registered Nurse | 4692 Brownsboro Rd, Winston Salem, NC 27106 | 2017-09-23 |
| 1497121156 | Jennifer Powell | Physician Assistant | 200 E Centennial Dr, Pittsburg, KS 66762-6571 | 2015-08-18 |
| 1205245396 | Jennifer Powell | Social Worker | 58 Quaker St, Granville, NY 12832-1513 | 2014-08-04 |
| Street Address |
3115 ACADEMY RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760478366 | Henry Arthur Greene | Optometrist | 3115 Academy Rd, Durham, NC 27707-2652 | 2005-09-20 |
| 1902289648 | Sindhura Citineni, Dds, Pa | Dentist | 3115 Academy Rd, Suite B, Durham, NC 27707-2652 | 2015-06-30 |
| 1205139680 | Jennifer M Powell, Od Pllc | Optometrist | 3115 Academy Rd, Durham, NC 27707-2652 | 2010-12-07 |
| 1023310810 | Sindhura Citineni | Dentist | 3115 Academy Rd, Suite B, Durham, NC 27707-0031 | 2010-11-30 |
| 1609191584 | Yvette E Thompson | Dentist | 3115 Academy Rd, Durham, NC 27707-0031 | 2010-04-02 |
| 1457540692 | Henry A Greene Od Pa | Optometrist | 3115 Academy Rd, Durham, NC 27707-2652 | 2007-10-23 |
| 1922011923 | Andrew P. Collins | Dentist | 3115 Academy Rd, Durham, NC 27707-2652 | 2006-08-14 |
| 1447276779 | Pedro E Santiago | Dentist | 3115 Academy Rd, Durham, NC 27707-2652 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| 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 |
|---|---|---|---|---|
| 1003420399 | Kyle Kiyoshi Harada | Optometrist | 1010 Stillwell Dr Unit 2422, Durham, NC 27707-6281 | 2020-09-03 |
| 1285107136 | Inview Eye Care 2, Od, Pllc | Optometrist | 1125 W Nc Highway 54 Ste 315, Durham, NC 27707-5717 | 2019-01-03 |
| 1346792918 | Greyssy Lizeth Haider | Optometrist | 6910 Fayetteville Rd Ste 296, Durham, NC 27713-8286 | 2016-10-31 |
| 1265704316 | Eye Care Associates Od Pa | Optometrist | 7001 Fayetteville Rd, Suite 105, Durham, NC 27713-9643 | 2012-02-06 |
| 1487935995 | Darryl E Glover Jr. | Optometrist | 7001 Fayetteville Rd Ste 105, Durham, NC 27713-9643 | 2011-08-30 |
| 1851578371 | Eye Care Associates Od Pa | Optometrist | 3500 N Duke St, Suite 1, Durham, NC 27704-1707 | 2008-01-28 |
| 1326181058 | Keith Allen Merrill | Optometrist | 3101 Shannon Rd, Durham, NC 27707-3571 | 2007-02-14 |
| 1942347463 | David Campbell Horton | Optometrist | 3500 N Roxboro St, Durham, NC 27704-2741 | 2007-01-31 |
| 1154470201 | Raymond J Legen | Optometrist | 5108 N Roxboro St, Durham, NC 27704-1420 | 2007-01-09 |
| 1356382469 | Naheed Kassam | Optometrist | 6910 Fayetteville Road, Suite 296, Durham, NC 27713-8286 | 2006-06-09 |
| Find all providers in DURHAM | ||||
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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.