Jacquelyn M. Delplanche, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3024ATI Issued in OR

Practice address

20 NW 185TH Ave
Aloha, OR 97006-3507

Phone

(503) 629-5200

Fax

(503) 629-0419

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Dr. Jacquelyn M. Wert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Heritage Vision Center, PC

  • Optometrist
  • Aloha, OR
  • NPI 1972637460
  NPD Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1497889067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NW 185TH AVE",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970063507",
            "telephone_number": "503-629-5200",
            "fax_number": "503-629-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 NW 185TH AVE",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970063507",
            "telephone_number": "503-629-5200",
            "fax_number": "503-629-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELPLANCHE",
        "first_name": "JACQUELYN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "OR",
            "license": "3024ATI",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3024ATI",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OR",
            "license": "3024ATI",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R154528",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "115639",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "WERT",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Annabelle Lee Dean
• Jennifer Louise Debono
• Rares N Deca, D.M.D.
• Kristen Dekker
• Jessica Deloglos, OD
• Susan Tobey Denman, MD
• Marcie Katrina Denney
• Riita Mae Dillon
• Nhu Thao T DO
• Martha Dominguez Mondragon

• Optometrist in Aloha, OR
• Providers in Aloha, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.