DR. JENNA HENRICH (O.D.) – Optometrist, NPI 1154734929

DR. JENNA HENRICH (O.D.) is a healthcare provider. based in Independence, Iowa. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 073497 (IA). The NPI Number for DR. JENNA HENRICH (O.D.) is 1154734929

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNA HENRICH (O.D.)
NPI
1154734929
Phone
(319) 334-6087
Address
1310 1ST ST W
Enumeration Date
9 June 2014
Last Update Date
9 June 2014

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3193934459
Graduation Year
2014 (12 years ago)
PAC ID
3476770017
Group Practice PAC ID
1759557085
Professional Enrollment ID
I20140805003112
Address ID
IA524021220CE1030XNERD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

Provider Addresses for DR. JENNA HENRICH (O.D.)

  • 1310 1ST ST W

    P.O. BOX 737

    INDEPENDENCE, IA 506442316

    Phone: (319) 334-6087

    Fax: (319) 334-6488

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140805003112IOptometryIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50644)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759557085View full group profile
NameSpecialtyState
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIA

Reviews

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Frequently asked questions

What federal number belongs to DR. JENNA HENRICH (O.D.)?
The federal identifier for DR. JENNA HENRICH (O.D.) is NPI 1154734929.
Is DR. JENNA HENRICH (O.D.)'s NPI currently valid?
The extract we use shows DR. JENNA HENRICH (O.D.) as active.
What field does DR. JENNA HENRICH (O.D.) work in?
You can think of DR. JENNA HENRICH (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JENNA HENRICH (O.D.)?
The snapshot lists Independence, Iowa for DR. JENNA HENRICH (O.D.); download NPPES for the complete set.
What if Independence, Iowa seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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