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

Jenelle Detten

Individual provider Pediatric Optometrist · NPI 1831080555

Jenelle Detten is a Pediatric Optometrist in Suffolk, Virginia. Licensed in Virginia. Registered with an NPI since 2025.

Licensed in
VA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1000 Knotts Pointe Ln Ste 107
Suffolk, VA 23435-1135
Phone: (619) 633-5491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618003631 (VA)
Pediatric Optometrist Taxonomy 152WP0200X · Licence 0618003631 (VA)

Record details

NPI number1831080555
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2025
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026