DR. JENNIPHER LYN WHITE (O.D.) – Optometrist, NPI 1629177357

DR. JENNIPHER LYN WHITE (O.D.) is a healthcare provider. based in Florence, Kentucky. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1797DT (KY). The NPI Number for DR. JENNIPHER LYN WHITE (O.D.) is 1629177357

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIPHER LYN WHITE (O.D.)
NPI
1629177357
Phone
(859) 525-2812
Address
2132 MALL ROAD
Enumeration Date
21 September 2006
Last Update Date
19 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5138932900
Graduation Year
2005 (21 years ago)
PAC ID
7416023163
Group Practice PAC ID
2769709179
Professional Enrollment ID
I20150629000524
Address ID
OH450117963HA3373XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

700 OPTOMETRY in KY

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Provider Addresses for DR. JENNIPHER LYN WHITE (O.D.)

  • Mall Road, Florence, Boone County, Kentucky, 41042, United States

    FLORENCE, KY 41042

    Phone: (859) 525-2812

    Fax: (859) 525-8828

    Type: Mailing

  • 107 N STATE ST

    WEST HARRISON, IN 470601023

    Phone: (812) 637-1300

    Fax: (859) 525-8828

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $142.

Total Amount is formed as General ($142) + Research ($0) + Ownership ($0) = $142.

Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($61).

Total Amount

$142

General + Research + Ownership

Payments

7

Total payment records

General Amount

$142

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20150629000524IOptometryOHTBD
I20150629000633IOptometryKYTBD
I20231227001707IOptometryINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina5150$0
99213Established patient office or other outpatient visit, 20-29 minutes4543$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 41042)

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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: 2769709179View full group profile

Reviews

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Frequently asked questions

How do payers reference DR. JENNIPHER LYN WHITE (O.D.)?
For DR. JENNIPHER LYN WHITE (O.D.), use NPI 1629177357 as the unique 10-digit identifier.
Would DR. JENNIPHER LYN WHITE (O.D.) appear as active to a payer?
You can treat DR. JENNIPHER LYN WHITE (O.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. JENNIPHER LYN WHITE (O.D.)?
DR. JENNIPHER LYN WHITE (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Kentucky is DR. JENNIPHER LYN WHITE (O.D.) registered?
Use Florence, Kentucky as the headline location for DR. JENNIPHER LYN WHITE (O.D.) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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