Jean Berkey Israelson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2280 Issued in CO

Practice address

1230 Spruce St
Boulder, CO 80302-4806

Phone

(303) 939-8021

Fax

(303) 939-8025

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

No

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 CO

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

Indiana University - School of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Envision BoulderGroup PAC ID 1153211073, 3 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 and National Provider Directory roles.

• Envision Boulder

  • Optometrist
  • Boulder, CO
  • NPI 1982873543
  Medicare reassignment Care Compare group NPD
• R. Scott Oberbreckling, O.D. LLC

  • Optometrist
  • Boulder, CO
  • NPI 1033204136
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194864801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 SPRUCE ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024806",
            "telephone_number": "303-939-8021",
            "fax_number": "303-939-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 SPRUCE ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024806",
            "telephone_number": "303-939-8021",
            "fax_number": "303-939-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAELSON",
        "first_name": "JEAN",
        "middle_name": "BERKEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Elizabeth Irving
• Mary Irving, LCSW
• Emily Isaacs, MA
• Ariko Iso, LATC
• Edith Israel, PSYD
• Gustavo Luis Isuani, M.D.
• It'S Me Again
• Mariana Iurcovich, PSYCHOTHERAPIST
• Ivan J. Miller, PHD, Inc.
• Amber Ivanova, LCSW, LAC

• Optometrist in Boulder, CO
• Providers in Boulder, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.