Individual provider Active NPI

Jennifer A Breunig, O.D.

  • Optometrist
  • Collegeville, PA
National Provider Identifier
1689766370
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000290 Issued in PA
Practice address
136 2ND Ave
Collegeville, PA 19426-2609
Phone
(610) 489-7800
Fax
(610) 489-7988
NPI assigned
Sep 29, 2006
Last updated
Jul 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000290 PA Primary

Addresses

Primary practice location

136 2ND Ave
Collegeville, PA 19426-2609

Mailing address

136 2ND Ave
Collegeville, PA 19426-2609
Phone (610) 489-7800

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Care PC Optometrist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1689766370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 2ND AVE",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262609",
            "telephone_number": "610-489-7800",
            "fax_number": "610-489-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 2ND AVE",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194262609",
            "telephone_number": "610-489-7800",
            "fax_number": "610-489-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREUNIG",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.