Active NPI
Jennifer Diana Windler, OD
- Optometrist
- Basalt, CO
National Provider Identifier
1689410565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.0004049
- Practice address
- 850 E Valley Rd
Basalt, CO 81621-7600 - Phone
- (970) 718-0007
- Fax
- (970) 279-8102
- NPI assigned
- Jul 1, 2024
- Last updated
- Aug 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5714 | MA | |
| Optometrist | 152W00000X | OPT.0004049 | CO | Primary |
Addresses
Primary practice location
850 E Valley Rd
Basalt, CO 81621-7600
Mailing address
562 Shrewsbury St
Holden, MA 01520-2154
Phone (508) 723-4991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.0004049 | CO | MD | Optometrist |
| 5714 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1689410565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "562 SHREWSBURY ST",
"city": "HOLDEN",
"state": "MA",
"postal_code": "015202154",
"telephone_number": "508-723-4991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 E VALLEY RD",
"city": "BASALT",
"state": "CO",
"postal_code": "816217600",
"telephone_number": "970-718-0007",
"fax_number": "970-279-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDLER",
"first_name": "JENNIFER",
"middle_name": "DIANA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-01",
"last_updated": "2025-08-04",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5714",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT.0004049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Basalt, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.