Individual provider Active NPI

Jennifer Ryan Zwelling, O.D.

  • Optometrist
  • Glenwood Springs, CO
National Provider Identifier
1346251386
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2621 Issued in CO
Practice address
904 Pitkin Ave
Glenwood Springs, CO 81601-3354
Phone
(970) 945-6011
NPI assigned
Aug 11, 2006
Last updated
Feb 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 2621 CO
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X 2621 CO
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2621 CO Primary

Addresses

Primary practice location

904 Pitkin Ave
Glenwood Springs, CO 81601-3354

Mailing address

161 Van Dorn Dr
Glenwood Springs, CO 81601-9246
Phone (303) 905-1616

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071008000323 CO Practitioner - Optometry 9931294824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Vision PCGroup PAC ID 3870831530, 2 clinicians

Practice addresses (Care Compare)

904 Pitkin Ave
Glenwood Springs, CO 81601-3354
Phone (970) 945-6011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2621COMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Vision PC Optometrist CurrentSince Feb 1, 2019 Accepting new patients

Organizations & group practices 1

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1346251386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 VAN DORN DR",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816019246",
            "telephone_number": "303-905-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 PITKIN AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013354",
            "telephone_number": "970-945-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWELLING",
        "first_name": "JENNIFER",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "2621",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CO",
            "license": "2621",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

Verify at the official NPI Registry.