Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jenna Derubeis, OD

Individual provider Corneal and Contact Management Optometrist · NPI 1447874755

Dr. Jenna Derubeis, OD is an Optometry in Phoenix, Arizona. Graduated from Illinois College of Optometry at Chicago in 2020, 6 years ago. Practices with Primary Eye Care Center of Ahwatukee PLC, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Trained at
Illinois College of Optometry at Chicago
Licensed in
AZ
In the registry since
2020
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

16515 S 40th St Ste 111
Phoenix, AZ 85048-0559
Phone: (480) 706-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT-002424 (AZ)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence OPT-002424 (AZ)
Pediatric Optometrist Taxonomy 152WP0200X · Licence OPT-002424 (AZ)

Record details

NPI number1447874755
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 2, 2020
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2020 (6 years in practice)
Group practice Primary Eye Care Center Of Ahwatukee Plc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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