Individual provider Active NPI

Erin Christine Jenewein, O.D.

  • Optometrist
  • Davie, FL
National Provider Identifier
1154654754
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4454 Issued in FL
Practice address
3200 S University Dr
Sanford Ziff BLDG. 2ND Floor
Davie, FL 33328-2018
Phone
(954) 262-4200
Fax
(954) 262-1818
NPI assigned
Sep 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4454 FL Primary

Addresses

Primary practice location

3200 S University Dr
Sanford Ziff BLDG. 2ND Floor
Davie, FL 33328-2018

Mailing address

6960 SW 39TH St
Apt. 301
Davie, FL 33314-2411
Phone (847) 224-7662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150819009004 PA Practitioner - Optometry 1355485178 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Salus University Hearing Vision Balance Clinic Optometrist CurrentSince Aug 5, 2015 Accepting new patients
Drexel University CurrentSince Dec 23, 2024 Accepting new patients
Drexel University CurrentSince Dec 23, 2024 Accepting new patients
Drexel University Optometrist CurrentSince Aug 5, 2015 Accepting new patients
Drexel University Current Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients
Nova Southeastern University, Inc Optometrist PastSince Jul 16, 2023 Accepting new patients

Locations

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

1200 W Godfrey Ave
Philadelphia, PA 19141
Phone (215) 276-6000

7630 Germantown Ave
Ste 4
Philadelphia, PA 19118
Phone (215) 276-6000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: erin.jenewein.p1@direct.salusuhealth.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1154654754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 SW 39TH ST",
            "address_2": "APT. 301",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333142411",
            "telephone_number": "847-224-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DR",
            "address_2": "SANFORD ZIFF BLDG. 2ND FLOOR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282018",
            "telephone_number": "954-262-4200",
            "fax_number": "954-262-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENEWEIN",
        "first_name": "ERIN",
        "middle_name": "CHRISTINE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.