Jean L Layman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1943 Issued in MN

Practice address

4405 Pheasant Ridge Dr NE
Blaine, MN 55449-4531

Phone

(763) 784-9700

NPI assigned

Aug 31, 2006

Last updated

Nov 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DJ-MN IncGroup PAC ID 5496856650, 2 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.

• DJ-MN Inc

  dba Select Eyecare

  • Optician
  • Anoka, MN
  • NPI 1205988805
  Medicare reassignment Care Compare group NPD
• Complete Eyecare P L C

  dba Lens Crafters

  • Optometrist
  • Blaine, MN
  • NPI 1841577418
  Medicare reassignment NPD
• DJ-MN Inc

  dba Select Eyecare

  • Optician
  • Coon Rapids, MN
  • NPI 1578615019
  NPD
• David Thelen

  dba select eyecare

  • Optician
  • Monticello, MN
  • NPI 1710058045
  NPD (past)
• DJ-MN Inc

  dba Select Eyecare

  • Optician
  • Monticello, MN
  • NPI 1124179049
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1689785636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 NORTHDALE BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554483364",
            "telephone_number": "763-208-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 PHEASANT RIDGE DR NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494531",
            "telephone_number": "763-784-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYMAN",
        "first_name": "JEAN",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MN IND #",
            "identifier": "477M8LA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MN GRP #",
            "identifier": "477M7WA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA DISPENSING",
            "identifier": "2100738",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "2203265",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelly Lea Larson-Peters, M.D.
• Jennifer Kathryn Larson, MA
• Sarah Rose Latterell, D.D.S.
• Angela Laughlin, APRN, NP-C
• David Karmue Lawor Jr., RN, BSN,CCRN
• Richard Leach, M.D.
• Louis Kon-Wai Lee, OD
• Song Lee, FNP-C
• Legacy Dental Care LLC
• Legacy Support LLC

• Optometrist in Blaine, MN
• Providers in Blaine, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.