Juwaria Din, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3579-35 Issued in WI

Practice address

4163 N Oakland Ave
Shorewood, WI 53211-2027

Phone

(414) 455-8131

NPI assigned

Aug 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Indiana University - School of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wisconsin Vision, LLCGroup PAC ID 5698676518, 27 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Wisconsin Vision, LLC

  • Optometrist
  • New Berlin, WI
  • NPI 1134179427
  Medicare reassignment Care Compare group NPD
• Wisconsin Vision, LLC

  • Optometrist
  • Brookfield, WI
  • NPI 1457890220
  NPD
• Wisconsin Vision, LLC

  • Optometrist
  • West Allis, WI
  • NPI 1912045188
  NPD

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1104471572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 RICHARDSON ST",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115288",
            "telephone_number": "608-332-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4163 N OAKLAND AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112027",
            "telephone_number": "414-455-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIN",
        "first_name": "JUWARIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3579-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Leigh Carlson LLC
• Colleen Davis Maxwell, LCSW
• Dawn Wellness Collective LLC
• Bettylou Delich, DC
• Madeline Devine
• Michele Donalson, LPC
• Draver Dental LLC
• Hannah G Draver
• Wilhelmina Duncan, M.S.S.W.
• Stephanie Lynn Emery

• Optometrist in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.