Individual provider Active NPI

Jill N. Warfield-Ziegert, O.D.

  • Corneal and Contact Management Optometrist
  • Mishawaka, IN
National Provider Identifier
1669507976
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
18002593 Issued in IN
Practice address
6501 Grape Rd
Jcpenney Optical
Mishawaka, IN 46545-1007
Phone
(574) 277-1176
Fax
(574) 277-1176
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 18002593 IN Primary

Addresses

Primary practice location

6501 Grape Rd
Jcpenney Optical
Mishawaka, IN 46545-1007

Mailing address

54669 Oak Leaf CT
Mishawaka, IN 46545-1862
Phone (574) 255-5186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050113000128 IN Practitioner - Optometry 4385693753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Family First Vision Care Indiana LLCGroup PAC ID 1557623063, 3 clinicians

Practice addresses (Care Compare)

6502 Grape Rd
Mishawaka, IN 46545-1102
Phone (574) 277-7723

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care of South Bend Corneal and Contact Management Past Accepting new patients

Organizations & group practices 2

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669507976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54669 OAK LEAF CT",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451862",
            "telephone_number": "574-255-5186",
            "fax_number": "574-255-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 GRAPE RD",
            "address_2": "JCPENNEY OPTICAL",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451007",
            "telephone_number": "574-277-1176",
            "fax_number": "574-277-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARFIELD-ZIEGERT",
        "first_name": "JILL",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "18002593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.