Active NPI
Jennifer Rae Schweitzer, O.D.
- Optometrist
- Spokane Valley, WA
National Provider Identifier
1154417038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD00003332
- Practice address
- 20 N Evergreen Rd
#102
Spokane Valley, WA 99216-5083 - Phone
- (509) 924-5665
- Fax
- (509) 922-9812
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD00003332 | WA | Primary |
Addresses
Primary practice location
20 N Evergreen Rd
#102
Spokane Valley, WA 99216-5083
Mailing address
20 N Evergreen Rd
#102
Spokane Valley, WA 99216-5083
Phone (509) 924-5665
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00978639 | Other | WA | RR MEDICARE |
| 2023265 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3332 | WA | MD | Rehabilitation Chiropractor |
| OD00003332 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justin Burgerson Eyecare Services LLC | Optometrist | Current | Accepting new patients |
Locations
20 N Evergreen Rd
#102
Spokane Valley, WA 99216
Phone (509) 924-5665
Organizations & group practices 1
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.
-
- Optometrist
- Spokane Valley, WA
- NPI 1891384616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1154417038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 N EVERGREEN RD",
"address_2": "#102",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992165083",
"telephone_number": "509-924-5665",
"fax_number": "509-922-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 N EVERGREEN RD",
"address_2": "#102",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992165083",
"telephone_number": "509-924-5665",
"fax_number": "509-922-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWEITZER",
"first_name": "JENNIFER",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD00003332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00978639",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2023265",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.