Kerry Jarvis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2398 Issued in CO

Practice address

550 S Wadsworth Blvd Unit 415
Lakewood, CO 80226-3118

Phone

(303) 989-2020

NPI assigned

Jan 3, 2007

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 names 1

• Kerry Wayman Former name

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

Specialty

Optometry

Education

Southern California College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kerry K. Jarvis O.D. PLLCGroup PAC ID 7315379609, 3 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 and National Provider Directory roles.

• Kerry K Jarvis OD PLLC

  • Optometrist
  • Lakewood, CO
  • NPI 1134778566
  Medicare reassignment Care Compare group NPD Authorized official
• Mauricio Waintrub, M.D., P.C

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1336172774
  Medicare reassignment NPD

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1376690537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S WADSWORTH BLVD UNIT 415",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263118",
            "telephone_number": "303-989-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S WADSWORTH BLVD UNIT 415",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263118",
            "telephone_number": "303-989-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "KERRY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "WAYMAN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Jancovic, L.AC.
• Danijela Jankovic, D.D.S.
• Marilyn Ann Jansen, LPN
• Richard K Jansen, MD
• Mariah T Jarrell
• Jazmin Valencia, RDN, LLC
• Jeannette Smith, LCSW, PLLC
• Julie A Jeary, RPA
• Adrienne P Jeavons, PA-C
• Jefferson Center for Mental Health

• Optometrist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.