DR. JENNIFER REBECCA SMALL (NPI# 1053410183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053410183 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER REBECCA SMALL |
| Credential | O.D. |
| Practice Address |
2237 Saranac Ave Lake Placid NY 12946-1185 |
| Practice Telephone | 5185231530 |
| Practice Fax Number | 5185316831 |
| Mailing Telephone | 5185231530 |
| Mailing Fax Number | 5185316831 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV006871 | NY | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405194 | Jennifer Lyn Small | Occupational Therapist | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-10-20 |
| 1659912186 | Jennifer Marie Small | Nurse Practitioner | 1405 E Greenville St, Anderson, SC 29621-2049 | 2019-10-07 |
| 1427514017 | Jennifer Small | Counselor | 22110 Roscoe Blvd Ste 204, Canoga Park, CA 91304-3862 | 2019-02-19 |
| 1619441748 | Jennifer W Small | Nurse Practitioner | 5916 174th St, Fresh Meadows, NY 11365-1539 | 2019-01-11 |
| 1154814291 | Jennifer Anne Small | Counselor | 590 Rio Lindo Ave, Chico, CA 95926-1817 | 2018-06-13 |
| 1285978106 | Jennifer Sue Small | Nurse Practitioner | 9715 Medical Center Dr, #501, Rockville, MD 20850-3320 | 2012-11-15 |
| 1699020826 | Jennifer Marie Small | Social Worker | 551 Cincinnati Batavia Pike, Cincinnati, OH 45244-1518 | 2012-07-13 |
| 1336372721 | Jennifer A Small | Orthotist | 1401 W Magnolia Ave, Fort Worth, TX 76104-4250 | 2009-09-01 |
| 1023281102 | Jennifer Lynn Small | Registered Nurse | Rr 1 Box 664, Box Elder, MT 59521-9797 | 2008-04-09 |
| 1609045525 | Jennifer Woodard Small | Physical Therapist | 20098 Ashbrook Pl, Suite 190, Ashburn, VA 20147-3393 | 2008-02-25 |
| Street Address |
2237 SARANAC AVE |
| City | LAKE PLACID |
| State | NY |
| Zip Code | 12946-1185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255507497 | Mountain Lake Children's Residence, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 386 River Road, Lake Placid, NY 12946 | 2008-05-07 |
| 1376761411 | Barbara Lynn Lawrence | Technician/Technologist | 96 Nash Street, Lake Placid, NY 12946 | 2007-04-23 |
| 1437202728 | Lake Placid Central School District | Local Education Agency (LEA) | 50 Cummings Road, Lake Placid, NY 12946 | 2007-01-19 |
| 1700952652 | Marcia Jo Dareff-wenn | Social Worker | 18 Coyote Way, Lake Placid, NY 12946 | 2006-11-24 |
| 1891807079 | Herbert Vw Bergamini | General Practice | 26 Swiss Road, Lake Placid, NY 12946 | 2006-08-31 |
| 1235129701 | Lake Placid Volunteer Ambulance Service Inc | Ambulance | 388 Mill Pond Drive, Lake Placid, NY 12946 | 2005-10-26 |
| 1982949251 | Colleen Porter | Occupational Therapist | 185 Old Military Rd, Lake Placid, NY 12946 | 2012-11-28 |
| 1053595496 | Richard S. Donela | Podiatrist | Adirondack Medical Center, 29 Church St., Lake Placid, NY 12946 | 2007-12-20 |
| 1861578502 | Karen L Merrihew-knox | Physical Therapist | 34 School St, Lake Placid Central School, Lake Placid, NY 12946 | 2006-10-27 |
| 1548328149 | Andrew James Donatello | Specialist/Technologist | 10 Northwood Rd, Lake Placid, NY 12946-0062 | 2006-12-05 |
| Find all providers in zip 12946 | ||||
| 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 |
|---|---|---|---|---|
| 1598201824 | Government Eye Care | Optometrist | 2264 Saranac Ave, Lake Placid, NY 12946-3383 | 2017-01-10 |
| 1649342767 | Thayer Eye Care Pa | Optometrist | 27 Us 27 S, Lake Placid, FL 33852-7916 | 2006-11-14 |
| 1649269721 | Richard L Erenstone | Optometrist | 96 Nash St, Lake Placid, NY 12946-1245 | 2005-10-20 |
| 1477732170 | Glenn R Thayer | Optometrist | 27 Us 27 S, Lake Placid, FL 33852-7916 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770225 | Quality Eye Care Nyc Optometry PC | Optometrist | 1755 Richmond Rd, Staten Island, NY 10306-2558 | 2020-11-02 |
| 1134727860 | Paras Patel | Optometrist | 891 Route 9 Ste 700, Queensbury, NY 12804-1796 | 2020-10-14 |
| 1962009175 | Designer Optical of Plains Parkway | Optometrist | 2196a White Plains Rd, Bronx, NY 10462-1406 | 2020-10-01 |
| 1962018184 | Anna Dobrokhodova | Optometrist | 2425 29th St Apt 3f, Astoria, NY 11102-1642 | 2020-09-22 |
| 1073129813 | Kajal Kirti Patel | Optometrist | 506 Amsterdam Ave Apt 3b, New York, NY 10024-3951 | 2020-09-17 |
| 1538772157 | Wilzen Anne Lingad O.d., Pllc | Optometrist | 4117 Crescent St, Long Island City, NY 11101-3861 | 2020-08-24 |
| 1760095384 | Mk Vision Center I, Inc | Optometrist | 7010 Austin St Ste 2, Forest Hills, NY 11375-4763 | 2020-08-24 |
| 1699387266 | V. Bolbirer Od P.C. | Optometrist | 1721 Avenue M, Brooklyn, NY 11230-5303 | 2020-08-17 |
| 1235749045 | Jessica V Vaidya | Optometrist | 2480 Grand Concourse, Bronx, NY 10458-5201 | 2020-08-06 |
| 1154930881 | Safeera Zafar Bhutta | Optometrist | 36 Lexington Ave, Malverne, NY 11565-2316 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | LAKE PLACID |
| Zip Code | 12946 |
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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.