JENNA NIEMAN (O.D.) – Optometrist, NPI 1629428511
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,618 OPTOMETRY in OH
Provider Addresses for JENNA NIEMAN (O.D.)
7630 Blake St
Liberty Township, OH 450697520
Phone: (513) 712-5065
Fax: (513) 755-1741
Type: Location
2011, North Roan Street, North Johnson City, Johnson City, Washington County, Tennessee, 37601, United States
SPACE E-6
JOHNSON CITY, TN 376013130
Phone: (423) 610-7155
Type: Mailing
Montgomery Road, O’Bryonville, Evanston, Cincinnati, Hamilton County, Ohio, 45207, United States
CINCINNATI, OH 452364306
Phone: (513) 793-5970
Fax: (513) 793-5976
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $320.
Total Amount is formed as General ($320) + Research ($0) + Ownership ($0) = $320.
Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Alcon Vision LLC ($258).
Total Amount
$320
General + Research + Ownership
Payments
8
Total payment records
General Amount
$320
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-09-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190906000657 | I | Optometry | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 47 | 47 | $0 |
| 92250 | Photography of the retina | 32 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 27 | $0 |
| 92004 | New patient complete exam of visual system | 16 | 16 | $0 |
Insurance plans in this area (ZIP 45069)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | TN | |
| O P T O M E T R Y | KY | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH | |
| O P T O M E T R Y | OH |
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