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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245853563

Jillian Penney, OD is an Optometry in Hanover, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Aeg Pennsylvania Professional Inc, a 80-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
Specialties on file
2
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

1201 W Elm Ave
Hanover, PA 17331-4600
Phone: (717) 630-2922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG003722 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245853563
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 20, 2020
Last updated in NPPESAugust 31, 2020
Certification dateAugust 24, 2020
Mailing address14 Beachfield Ln, Hanover, PA 17331-3552

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Aeg Pennsylvania Professional Inc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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