Jenifer W Ambler, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

030-0000234 Issued in VT

Practice address

1222 Putney Rd
Brattleboro, VT 05301-9062

Phone

(802) 254-6900

Fax

(802) 254-7610

NPI assigned

Jun 15, 2005

Last updated

Sep 26, 2014By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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

New England College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jenifer W. Ambler

  • Optometrist
  • Brattleboro, VT
  • NPI 1659689479
  Medicare reassignment NPD Authorized official
• L. H. Kimball, LLC

  • Optometrist
  • Brattleboro, VT
  • NPI 1104158997
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1306841507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8427",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053048427",
            "telephone_number": "802-254-6900",
            "fax_number": "802-254-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 PUTNEY RD",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053019062",
            "telephone_number": "802-254-6900",
            "fax_number": "802-254-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBLER",
        "first_name": "JENIFER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030-0000234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9163",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Anne Aiken, B.S., PHARMD, RPH
• Shumokh Abdullah S Alanazi, PH.D
• Peter Albert
• David J Albright, MD
• Alexandra Keep PLLC
• Laila Claire Ames, N.D.
• Mark Anagnostopulos
• Craig Norman Anderson, DC
• Jacob Anderson
• Mark Andrew

• Optometrist in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.