Individual provider Active NPI

Jennifer Braun Bowers

  • Corneal and Contact Management Optometrist
  • Virginia Beach, VA
National Provider Identifier
1730215930
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
0618001612 Issued in VA
Practice address
701 Lynnhaven Pkwy
Virginia Beach, VA 23452-7299
Phone
(757) 486-1440
NPI assigned
Feb 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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 0618001612 VA Primary

Addresses

Primary practice location

701 Lynnhaven Pkwy
Virginia Beach, VA 23452-7299

Mailing address

792 Old Cutler Rd
Virginia Beach, VA 23454-6050
Phone (757) 705-3082

Other names 1

  • Jennifer Lynn Braun Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20070626000169 VA Practitioner - Optometry 9133228588 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Vision Optometry P.C. CurrentSince Sep 4, 2022 Accepting new patients
Virginia Medical Eye Center Past Accepting new patients
Douglas M Rampona MD PC PastSince Jan 1, 2013 Accepting new patients
Hudson Optometric Centre Past Accepting new patients

Locations

200 W Constance Rd
Suffolk, VA 23434
Phone (347) 829-6863

4142 Bonney Rd
Virginia Beach, VA 23452
Phone (757) 340-0620

Organizations & group practices 4

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": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1730215930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 OLD CUTLER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234546050",
            "telephone_number": "757-705-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 LYNNHAVEN PKWY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527299",
            "telephone_number": "757-486-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "JENNIFER",
        "middle_name": "BRAUN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-24",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618001612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRAUN",
            "middle_name": "LYNN",
            "credential": "O.D.,F.A.A.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.