DR. JEFFREY M PENN (NPI# 1952407348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952407348 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY M PENN |
| Credential | O.D. |
| Practice Address |
17395 State Highway 249 Suite 3i-2 Houston TX 77064-1179 |
| Practice Telephone | 2818940011 |
| Practice Fax Number | 2818947799 |
| Mailing Telephone | 2818940011 |
| Mailing Fax Number | 2818947799 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2009-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
2867TG | TX | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997320 | Jeffrey Lance Penn | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-03-12 |
| Street Address |
17395 STATE HIGHWAY 249 SUITE 3I-2 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77064-1179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376758235 | Joseph Hoduy Nguyen | Dentist | 17395 State Highway 249, Ste N, Houston, TX 77064-1179 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326664475 | Khanh Pham | Optometrist | 17282 Tx-249, Houston, TX 77064 | 2020-06-24 |
| 1427672047 | 5203 Crest Ridge Drive | Nursing Care | 10050 West Road, Houston, TX 77064 | 2020-05-29 |
| 1467936641 | Krishelle Lagman | Specialist/Technologist | 17314 Tx-249, Ste 230, Houston, TX 77064 | 2018-09-24 |
| 1689192544 | Joshua Lee Trevino | In Home Supportive Care | 10802 Legacy Park Dr #10207, Houston, TX 77064 | 2017-08-31 |
| 1487178224 | Angle Homecare Corporation | Home Health | 10518 Encino Pass Trl, Houston, TX 77064 | 2017-08-02 |
| 1174984538 | Stephanie Branch | Occupational Therapy Assistant | 17200 Tx Hwy 249, Suite 150, Houston, TX 77064 | 2016-03-14 |
| 1710389333 | Ma Corazon Ann Garcia | Registered Nurse | 9506 Summer Run Dr, Houston, TX 77064 | 2014-09-25 |
| 1144640194 | Krystal Sennet | Speech-Language Pathologist | 17200 Tx-249, Suite 150, Houston, TX 77064 | 2014-04-17 |
| 1770908212 | Debra Norvick | Physical Therapy Assistant | 17200 Hwy 249 Suite 150, Houston, TX 77064 | 2014-02-20 |
| 1831442623 | Meagan Rivas | Speech-Language Pathologist | 17200 Hwy 249, 170, Houston, TX 77064 | 2012-10-18 |
| Find all providers in zip 77064 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902224173 | Doris D Forte | Optometrist | 11341 Hillard Street, Ellington Air Station, Houston, TX 77034 | 2014-04-03 |
| 1770922338 | Napoleon Cabaguio Lovero II | Optometrist | 520 Waugh Drive, Houston, TX 77019 | 2013-06-17 |
| 1023368909 | Kvt Vision L.l.c | Optometrist | 12194 Veterans Memorial Dr, Houston, TX 77067-1004 | 2012-09-18 |
| 1720340953 | Misa Trang Huynh, O.d., P.a. | Optometrist | 142 Vintage Park Blvd, Ste.j, Houston, TX 77070-3997 | 2012-06-13 |
| 1851546881 | Van Thuy Truong | Optometrist | 333 Memorial City Way, Houston, TX 77024-2598 | 2008-11-18 |
| 1386796308 | Poun T Lintakoon | Optometrist | 9188 Bellaire Blvd, Suite I, Houston, TX 77036-4623 | 2007-01-18 |
| 1801820089 | Perry John Soli | Optometrist | 8506 Highway 6 N, Houston, TX 77095-2103 | 2006-07-11 |
| 1669914727 | Westheimer At Shadowbriar Vision Center | Optometrist | 12288 Westheimer Rd, Suite 230, Houston, TX 77077-6054 | 2016-11-07 |
| 1235479668 | Alma D. Hernandez, O.d., Pllc | Optometrist | 1919 North Loop W, Ste. 260, Houston, TX 77008-1374 | 2013-02-21 |
| 1811270333 | International Eye Care | Optometrist | 926 N Wilcrest Dr, Houston, TX 77079-3504 | 2011-09-21 |
| Find all providers in HOUSTON | ||||
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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.