Active NPI
Amy Lynn Jankowski, OD
- Optometrist
- Milwaukee, WI
National Provider Identifier
1174518161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2868
- Practice address
- 325 E Chicago St
Milwaukee, WI 53202-5836 - Phone
- (414) 727-5888
- Fax
- (414) 727-5889
- NPI assigned
- Sep 15, 2005
- Sex
- Female
- Sole proprietor
- No
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 | 2868 | WI | Primary |
Addresses
Primary practice location
325 E Chicago St
Milwaukee, WI 53202-5836
Mailing address
325 E Chicago St
Milwaukee, WI 53202-5836
Phone (414) 727-5888
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
325 E Chicago St
Milwaukee, WI 53202-5836
Phone (414) 727-5888
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2868 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Eye Complete Family Eyecare SC | Optometrist | Current | Accepting new patients |
Locations
325 E Chicago St
Milwaukee, WI 53202
Phone (414) 727-5888
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1174518161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 E CHICAGO ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532025836",
"telephone_number": "414-727-5888",
"fax_number": "414-727-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E CHICAGO ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532025836",
"telephone_number": "414-727-5888",
"fax_number": "414-727-5889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANKOWSKI",
"first_name": "AMY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-15",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.