Jessica Wagner- Jeske, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

JW004356 Issued in MI

Practice address

600 S Euclid Ave
Bay City, MI 48706-3210

Phone

(989) 684-8840

Fax

(989) 684-2536

NPI assigned

May 20, 2006

Last updated

Oct 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jessica Wagner Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• In Focus Vision Center PLLC

  • Optometrist
  • Bay City, MI
  • NPI 1881434165
  Medicare reassignment NPD Authorized official
• Nichols Optical Inc

  • Optometrist
  • Traverse City, MI
  • NPI 1679558712
  Medicare reassignment NPD
• Richard Eric Strain, O.D., P.L.C.

  • Optometrist
  • Bay City, MI
  • NPI 1134430309
  NPD
• Nichols Optical Inc

  dba Pearle Vision 8491

  • Eyewear Supplier
  • Mt Pleasant, MI
  • NPI 1699725119
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1063466431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063210",
            "telephone_number": "989-684-8840",
            "fax_number": "989-684-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S EUCLID AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487063210",
            "telephone_number": "989-684-8840",
            "fax_number": "989-684-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER- JESKE",
        "first_name": "JESSICA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004356",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "JW004356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "WAGNER",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catherine Louise Voss, B.A.
• Vpa PC
• W.M. Kais, DDS PLC
• Alexis Nicole Wackerle
• Richard L Wacksman, MD
• Elizabeth Wagner
• Jacob Wagner
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1752)
• Wal-Mart Stores East, LP (Vision Center 30-1752)
• Kaylee Wald

• Optometrist in Bay City, MI
• Providers in Bay City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.