Jennifer J Dotterweich, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6150 Issued in NY

Practice address

243 E Main St
Avon, NY 14414-1421

Phone

(585) 519-4208

Fax

(585) 438-4148

NPI assigned

Mar 22, 2006

Last updated

Jul 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jennifer J Dotterweich Optometry, PCGroup PAC ID 4789874801, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jennifer J Dotterweich Optometry, PC

  dba Livingston Eye Care

  • Optometrist
  • Avon, NY
  • NPI 1538483151
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer J. Dotterweich, OD, PLLC

  • Optometrist
  • Avon, NY
  • NPI 1659569606
  NPD (past) Authorized official

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1194784694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 E MAIN ST",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144141421",
            "telephone_number": "585-519-4208",
            "fax_number": "585-438-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 E MAIN ST",
            "city": "AVON",
            "state": "NY",
            "postal_code": "144141421",
            "telephone_number": "585-519-4208",
            "fax_number": "585-438-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTTERWEICH",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "6150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Docherty, LCAT, ATR-BC
• Sarah Doherty
• Peter J. Dolan, PA
• Maureen Elizabeth Donahoe, LMT
• Michael Donegan, P.T.
• Samantha Crystal Eklund, LMHC
• Cassandra Engle, DPT
• Tonya Erdle, FNP
• Margaret Clare Faisst, R.N.
• Molly French

• Optometrist in Avon, NY
• Providers in Avon, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.

Verify at the official NPI Registry.