Jason Kennan Winterbottom, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5515 Issued in OH

Practice address

7849 Tylersville Rd
West Chester, OH 45069-2510

Phone

(513) 298-5170

Fax

(513) 755-0658

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

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.

• Clarkson Optometry Midwest Inc

  • Optometrist
  • Centerville, OH
  • NPI 1073917597

  KY, OH, Optometrist

  Medicare reassignment Care Compare group NPD
• Clarkson Optometry Midwest Inc

  • Optometrist
  • West Chester, OH
  • NPI 1003348327
  Care Compare group
• Clarkson Optometry Midwest Inc

  • Optometrist
  • Blue Ash, OH
  • NPI 1366332777
  Care Compare group
• Clarkson Optometry Midwest Inc

  • Optometrist
  • Fairfield, OH
  • NPI 1467342873
  Care Compare group
• Clarkson Optometry Midwest Inc

  • Optometrist
  • Clarksville, IN
  • NPI 1295772143
  Care Compare group
• Clarkson Optometry Midwest Inc.

  • Optometrist
  • Louisville, KY
  • NPI 1073550927
  Care Compare group
• Clarkson Optometry Midwest Inc.

  • Optometrist
  • Calvert City, KY
  • NPI 1356750848
  Care Compare group
• Clarkson Optometry Midwest Inc.

  • Optometrist
  • Benton, KY
  • NPI 1497948541
  Care Compare group
• Clarkson Optometry Midwest Inc.

  • Optometrist
  • Louisville, KY
  • NPI 1750662276
  Care Compare group
• Cincinnati Eye Care Team LLC

  • Optometrist
  • West Chester, OH
  • NPI 1760412464
  NPD (past)
• Wing Eyecare, Inc.

  • Optometrist
  • Miamisburg, OH
  • NPI 1699138883
  NPD (past)
• 20-20 Eyecare PSC

  • Optometrist
  • Louisville, KY
  • NPI 1710924949
  NPD (past)

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarkson Optometry Midwest Inc 78 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jasonwinterbottom@direct.eyecare-partners.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 20, 2022.

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1114901568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7849 TYLERSVILLE RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692510",
            "telephone_number": "513-298-5170",
            "fax_number": "513-755-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7849 TYLERSVILLE RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450692510",
            "telephone_number": "513-298-5170",
            "fax_number": "513-755-0658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5283 Cornerstone North Blvd",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454402270",
            "country_code": "US",
            "telephone_number": "937-848-6601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTERBOTTOM",
        "first_name": "JASON",
        "middle_name": "KENNAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "5515E",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerri Wilson, ED.D
• Kyra Wilson
• Ramica Maria Wilson, BSW
• Sherri Wilson
• Gayle A Windhorst, LPN NURSE
• Wired to Bloom Therapy & Consulting, LLC
• Belinda S Wireko, CNP
• Monica J Wirsing, PTA
• Jessica Wirtley
• Jayla Wiseman

• All providers in West Chester, OH
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.