Individual provider Active NPI

Jenifer Ramsower, OD

  • Optometrist
  • Melbourne, FL
National Provider Identifier
1194763094
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3941 Issued in FL
Practice address
930 S Harbor City Blvd Ste 200
Melbourne, FL 32901-1964
Phone
(321) 503-2823
Fax
(833) 365-2167
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3941 FL Primary

Addresses

Primary practice location

930 S Harbor City Blvd Ste 200
Melbourne, FL 32901-1964

Mailing address

930 S Harbor City Blvd Ste 200
Melbourne, FL 32901-1964
Phone (321) 503-2823

Other identifiers 2

IdentifierTypeStateIssuer
16266OtherFLBCBS FL
621045700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050819000149 FL Practitioner - Optometry 1557391562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

930 S Harbor City Blvd
Suite 200
Melbourne, FL 32901-1964
Phone (321) 503-2823

Merit-based Incentive Payment System (MIPS)

Final score
94.45 of 100Reported as individual
Quality
88.89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3941FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dry Eye Center of Florida Optometrist CurrentSince Aug 12, 2021 Accepting new patients

Locations

930 S Harbor City Blvd
Ste 200
Melbourne, FL 32901
Phone (321) 503-2823

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24488/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jenifer.ramsower.1@24488.direct.athenahealth.com

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1194763094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 S HARBOR CITY BLVD STE 200",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011964",
            "telephone_number": "321-503-2823",
            "fax_number": "321-674-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 S HARBOR CITY BLVD STE 200",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011964",
            "telephone_number": "321-503-2823",
            "fax_number": "833-365-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSOWER",
        "first_name": "JENIFER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "16266",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621045700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.