Individual provider Active NPI

Jennifer G. Slotwinski, O.D.

  • Optometrist
  • Gainesville, GA
National Provider Identifier
1639325780
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003224 Issued in GA
Practice address
3640 Mundy Mill Rd Ste 146
Gainesville, GA 30504-8201
Phone
(470) 290-8182
Fax
(470) 481-0250
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003224 GA Primary

Addresses

Primary practice location

3640 Mundy Mill Rd Ste 146
Gainesville, GA 30504-8201

Mailing address

5524 Brendlynn Dr
Suwanee, GA 30024-7553
Phone (630) 269-0760

Other practice location 1

5391 Highway 53 Ste 102
Braselton, GA 30517-3136
Phone (706) 658-0270

Other names 1

  • Dr. Jennifer G. Kolodziejczyk Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20230515000261 GA Practitioner - Optometry 2264563477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Vision PartnersGroup PAC ID 1850789553, 3 clinicians

Practice addresses (Care Compare)

5391 Hwy 53
Suite 102
Braselton, GA 30517-3136
Phone (706) 658-0270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Vision Partners Optometrist CurrentSince Mar 16, 2024 Accepting new patients
Winder Eye Care Center Optometrist CurrentSince Mar 16, 2024 Accepting new patients
Georgia Eye LLC Optometrist PastSince Mar 16, 2024 Accepting new patients

Locations

5391 Highway 53
Ste 102
Braselton, GA 30517
Phone (706) 546-0170

279 N Broad St
Ste C
Winder, GA 30680
Phone (404) 867-2505

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1639325780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 BRENDLYNN DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247553",
            "telephone_number": "630-269-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MUNDY MILL RD STE 146",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305048201",
            "telephone_number": "470-290-8182",
            "fax_number": "470-481-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5391 Highway 53 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305173136",
            "country_code": "US",
            "telephone_number": "706-658-0270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOTWINSKI",
        "first_name": "JENNIFER",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KOLODZIEJCZYK",
            "middle_name": "G.",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.