Jennifer Mercado, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1653DT Issued in KY

Practice address

2174 Dixie Hwy
Fort Mitchell, KY 41017-2902

Phone

(859) 341-2566

Fax

(859) 341-2568

NPI assigned

Aug 30, 2006

Last updated

Dec 9, 2011By 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 4

Medicare fee-for-service enrollment

Enrolled in KY

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

Illinois College of Optometry at Chicago, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Shewmaker and Associates Optometrists IncGroup PAC ID 7719874049, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dr Shewmaker & Associates Optometrists Inc

  dba Vision One

  • Optometrist
  • Ft Mitchell, KY
  • NPI 1871641332
  Medicare reassignment Care Compare group NPD
• Dr Shewmaker & Associates Optometrists Inc

  dba Vision One

  • Optometrist
  • Dry Ridge, KY
  • NPI 1801949227
  NPD
• Wing Eyecare, Inc.

  dba Wing Eyecare

  • Optometrist
  • Florence, KY
  • NPI 1912194986
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1306955281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2174 DIXIE HWY",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410172972",
            "telephone_number": "859-341-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2174 DIXIE HWY",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410172902",
            "telephone_number": "859-341-2566",
            "fax_number": "859-341-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "JENNIFER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1653DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001659",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "61-1169814",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100172260",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000372897",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni McCarthy
• Jennifer Kristen McDermott, B.S.
• Benjamin Martin McGinnis
• Lindsey M McLernon, DPT
• Dominique Mekkam, MD
• Angela Denise Miller, APRN-CNP
• Shelby Mitchell, OTD, OTR/L
• Michael E Molony, DMD PSC
• Mortenson Family Dental Center- Ft Wright PLLC
• Constance Nauert

• Optometrist in Ft Mitchell, KY
• Providers in Ft Mitchell, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.