Individual provider Active NPI

Jennifer Lynne Planitz, O.D.

  • Occupational Vision Optometrist
  • Rio Rancho, NM
National Provider Identifier
1184785784
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
License
NMOP2377 Issued in NM
Practice address
4100 Crestview Dr SE
Rio Rancho, NM 87124-5942
Phone
(505) 891-2020
Fax
(505) 891-2010
NPI assigned
Dec 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Vision Optometrist 152WX0102X NMOP2377 NM Primary

Addresses

Primary practice location

4100 Crestview Dr SE
Rio Rancho, NM 87124-5942

Mailing address

4100 Crestview Dr SE
Rio Rancho, NM 87124-5942
Phone (505) 891-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20110124000144 NM Practitioner - Optometry 1456466994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4100 Crestview Dr SE
Rio Rancho, NM 87124-5942
Phone (505) 891-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NMOP2377NMMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Eyecare & Contact Lenses Inc CurrentSince Sep 1, 1996 Accepting new patients
Rio Eyecare & Contact Lenses Inc CurrentSince Jan 1, 1996 Accepting new patients

Locations

4100 Crestview Dr SE
Rio Rancho, NM 87124
Phone (505) 891-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184785784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 CRESTVIEW DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245942",
            "telephone_number": "505-891-2020",
            "fax_number": "505-891-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 CRESTVIEW DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245942",
            "telephone_number": "505-891-2020",
            "fax_number": "505-891-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANITZ",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "NM",
            "license": "NMOP2377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.