JENNINE DORSE O.D.
NPI 1104292747
Optometrist in Fair Lawn, NJ

Q: What is Jennine Dorse's NPI number?

The NPI number for Jennine Dorse is 1104292747. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Q: What is Jennine Dorse's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennine Dorse was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 18, 2015PECOS Enrolled

4-14 SADDLE RIVER RD, FAIR LAWN, NJ 07410(215) 360-7198 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jennine Dorse O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNINE DORSE O.D. (NPI 1104292747) is an individual optometrist in Fair Lawn, New Jersey, licensed in New Jersey (27OA00662800) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104292747

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameJENNINE DORSECredential: O.D.

Location Address4-14 SADDLE RIVER RDFair Lawn, NJ 07410-5632

Mailing Address4-14 Saddle River RdFair Lawn, NJ 07410-5632 · (215) 360-7198

Phone(215) 360-7198

Sole ProprietorYes

Enumeration DateAugust 18, 2015

✔ NPI 1104292747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NJ · 27OA00662800

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4-14 SADDLE RIVER RD, Fair Lawn, NJ 07410

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennine Dorse O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jennine Dorse reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Resident Eye Care Associates, LLC

Same address

Optometrist

4-14 SADDLE RIVER RD, SUITE 202
Fair Lawn, NJ 07410

Reassigned Medicare billing, New Jersey enrollment
19 clinicians in this Medicare group

NPI 1508883307 (201) 797-2747

Home Vision Group LLC

Same address

Optometrist

4-14 SADDLE RIVER RD, SUITE 202
Fair Lawn, NJ 07410

Reassigned Medicare billing, New Jersey enrollment
11 clinicians in this Medicare group

NPI 1609067230 (201) 797-2747

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%108 patients5/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

50%32 patients1/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

100%2,799 patients5/55-star benchmark: 99%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%2,799 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

0%2,799 patients1/55-star benchmark: 59%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH JERSEY COLON & RECTAL SURGICAL ASSOCIATES PA

Colon & Rectal Surgery

4-14 SADDLE RIVER RD
FAIR LAWN, NJ 07410

Bergen County (201) 791-4002

JOHN C MCCONNELL M.D.

Colon & Rectal Surgery

4-14 SADDLE RIVER RD
FAIR LAWN, NJ 07410

Bergen County (201) 791-4002

DR. JACK SOL MERMELSTEIN OD

Optometrist

4-14 SADDLE RIVER RD, SUITE 202
FAIR LAWN, NJ 07410

Bergen County (201) 797-2747

MARTIN N WEINER, MD PA

Psychiatry & Neurology (Psychiatry)

4-14 SADDLE RIVER RD, SUITE #203
FAIR LAWN, NJ 07410

Bergen County (201) 796-5352

MOBILE VISION GROUP LLC

Optometrist

4-14 SADDLE RIVER RD, SUITE 202
FAIR LAWN, NJ 07410

Bergen County (201) 797-2747

DR. RICHARD T. BRAVER DPM

Podiatrist (Foot & Ankle Surgery)

4-14 SADDLE RIVER RD, SUITE 101
FAIR LAWN, NJ 07410

Bergen County (201) 791-1881

DR. MARY ANN HODLE O.D.

Optometrist

4-14 SADDLE RIVER RD, SUITE 202
FAIR LAWN, NJ 07410

Bergen County (201) 797-2747

RESIDENT EYE CARE ASSOCIATES, LLC

Optometrist

4-14 SADDLE RIVER RD, SUITE 202
FAIR LAWN, NJ 07410

Bergen County (201) 797-2747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennine Dorse's NPI number?

The NPI number for Jennine Dorse is 1104292747. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Where is Jennine Dorse located?

Jennine Dorse practices at 4-14 Saddle River Rd, Fair Lawn, NJ 07410. The listed phone number is (215) 360-7198.

What is Jennine Dorse's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jennine Dorse enrolled in Medicare?

Yes. Jennine Dorse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennine Dorse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennine Dorse reassigns Medicare benefits to 2 organizations: Resident Eye Care Associates, LLC (Fair Lawn, NJ) and Home Vision Group LLC (Fair Lawn, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennine Dorse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennine Dorse was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.