Jennifer Marie Reiland, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2914 Issued in WI

Practice address

2510 W 9TH Ave
Oshkosh, WI 54904-8125

Phone

(920) 426-2020

Fax

(920) 235-3195

NPI assigned

Dec 28, 2005

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 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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr J J Marsh LTDGroup PAC ID 9234137902, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.reiland@direct.revolutionehr.com

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.

• Dr J J Marsh LTD

  • Optometrist
  • Oshkosh, WI
  • NPI 1366552663
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1356328645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W 9TH AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048125",
            "telephone_number": "920-426-2020",
            "fax_number": "920-235-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W 9TH AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549048125",
            "telephone_number": "920-426-2020",
            "fax_number": "920-235-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILAND",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38619100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Reetz, SLP
• Angie Reetz, COTA
• Casey Jean Reetz, FNP-BC
• Jacqueline Mary Reichenberger, MS CCC-SLP
• Jane E Reid, MD
• Brenna L Reimer, APNP
• Tracey Reinders, RN
• Gregory Reiser, MD
• Terese Ann Reitzner
• Constance Remick

• Optometrist in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.