Jennifer Fowler, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.006675 Issued in OH

Practice address

2601 Far Hills Ave
Oakwood, OH 45419-1634

Phone

(937) 298-1703

Fax

(937) 298-6344

NPI assigned

Jul 7, 2017

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 OH

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kunesh Eye Center, IncGroup PAC ID 2163455999, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.65 of 100Reported as group

Quality

100

Promoting interoperability

98

Improvement activities

40

Cost

77.18

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.fowler.p1@direct.kunesheyecenter.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Kunesh Eye Center, Inc

  • Ophthalmology Physician
  • Dayton, OH
  • NPI 1073654273
  Medicare reassignment Care Compare group NPD
• Kunesh Eye Center, Inc

  dba Oakwood Optical

  • Eyewear Supplier
  • Dayton, OH
  • NPI 1801937602
  NPD

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1225550635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 FAR HILLS AVE",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454191634",
            "telephone_number": "937-298-1703",
            "fax_number": "937-298-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 FAR HILLS AVE",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454191634",
            "telephone_number": "937-298-1703",
            "fax_number": "937-298-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryn Cortez
• Mitzi Davis, LMT
• Ronda Doster, MS LPC
• Beth E Duvall, MD
• Executive Medical Centers of Ohio
• Kathleen Fraser, LISW-S
• Brenna Marie Gingrich, NP
• Barry L. Gridley, O.D.
• John J Haluschak, MD
• Jalal Hassouna, OD

• Optometrist in Oakwood, OH
• Providers in Oakwood, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.