Provider Demographics
NPI:1285100768
Name:JENNIFER B. COMPTON & ASSOCIATES, PLLC
Entity type:Organization
Organization Name:JENNIFER B. COMPTON & ASSOCIATES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:BROWN
Authorized Official - Last Name:COMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:859-494-0555
Mailing Address - Street 1:709 E MOUNT VERNON ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42501-1338
Mailing Address - Country:US
Mailing Address - Phone:606-679-5177
Mailing Address - Fax:606-678-9200
Practice Address - Street 1:709 E MOUNT VERNON ST STE 1
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-1338
Practice Address - Country:US
Practice Address - Phone:859-494-0555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty