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

Dr. Jonathan William Fennell, OD

Individual provider Optometrist · NPI 1295684686

Dr. Jonathan William Fennell, OD is an Optometry in Cranberry Township, Pennsylvania. Graduated from Indiana University - School of Optometry in 2025, 1 year ago. Practices with Aeg Pennsylvania Professional Inc, a 80-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
1
Trained at
Indiana University - School of Optometry
Licensed in
PA
In the registry since
2026
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

20808 Route 19
Cranberry Township, PA 16066-6022
Phone: (724) 591-8212
Fax: (724) 320-3903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG004338 (PA)

Record details

NPI number1295684686
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 27, 2026
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2025 (1 years in practice)
Group practice Aeg Pennsylvania Professional Inc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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