Jill M Sharp, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG00301 Issued in PA

Practice address

27 Porter Ave
Jamestown, NY 14701-6221

Phone

(716) 483-2020

Fax

(716) 488-9295

NPI assigned

Nov 16, 2005

Last updated

Sep 8, 2010By the provider in NPPES

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 2

Other names 1

• Jill M Renner Former name

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

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 2

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Warren General HospitalGroup PAC ID 4880501402, 100 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Warren General Hospital

  dba d/b/a Warren Medical Group

  • Family Medicine Physician
  • Warren, PA
  • NPI 1508803701

  Optometrist

  Medicare reassignment Care Compare group NPD
• Gateway Ophthalmology, P.L.L.C

  • Ophthalmology Physician
  • Jamestown, NY
  • NPI 1538524798

  PA

  Medicare reassignment NPD
• Warren General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Warren, PA
  • NPI 1407199227
  NPD

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1598747586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PORTER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016221",
            "telephone_number": "716-483-2020",
            "fax_number": "716-488-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PORTER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016221",
            "telephone_number": "716-483-2020",
            "fax_number": "716-488-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "JILL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG00301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001657600",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01770621",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "RENNER",
            "middle_name": "M",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Cathryn Settelmaier, DPT, CLT
• Shelly M Shaffer
• Jatan A Shah, MD
• Momina Ahmed Shaikh, OD
• Rebecca Lynn Sharp McMillen, FNP-C
• Kathryn Ann Sharples
• Christina L Shaver, MS, SPEC ED
• Carrie Sheffield
• Deann L Shelters, LMSW
• Joann Marie Sholl, PT

• Optometrist in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.