Individual provider Active NPI

Jennifer Ann Alvarez, O.D.

  • Optometrist
  • Brookfield, WI
National Provider Identifier
1316255805
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3204 Issued in WI
Practice address
16970A W Bluemound Rd
Brookfield, WI 53005-5952
Phone
(262) 797-9322
NPI assigned
Sep 17, 2010
Last updated
Jan 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3204 WI Primary

Addresses

Primary practice location

16970A W Bluemound Rd
Brookfield, WI 53005-5952

Mailing address

16970A W Bluemound Rd
Brookfield, WI 53005-5952
Phone (262) 797-9322

Other names 1

  • Jennifer Ann Epstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20110204000958 WI Practitioner - Optometry 4789864919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Center of New Holstein LLCGroup PAC ID 7517916273, 4 clinicians

Practice addresses (Care Compare)

1106 Washington St
Grafton, WI 53024-1916
Phone (262) 376-1800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Center of New Holstein, LLC Optometrist CurrentSince Jan 28, 2016 Accepting new patients
Grafton Family Eye Care LLC Optometrist PastSince Jan 28, 2016 Accepting new patients
Valley Eye Associates Optometrist Past Accepting new patients

Locations

1106 Washington St
Grafton, WI 53024
Phone (262) 375-0220

500 Fremont St
Kiel, WI 53042
Phone (920) 894-2727

1405 Milwaukee Dr
New Holstein, WI 53061
Phone (920) 898-5531

3144 Wilgus Ave
Sheboygan, WI 53081
Phone (920) 451-1400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1316255805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16970A W BLUEMOUND RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055952",
            "telephone_number": "262-797-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16970A W BLUEMOUND RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055952",
            "telephone_number": "262-797-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "EPSTEIN",
            "middle_name": "ANN",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.