Jessica J Hegewald, OD
Individual provider Active NPI Optometrist · Silverthorne, CO
NPI 1740436732 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1740436732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2671 (CO)
- Practice address
- 358 Blue River Parkway
Suite D
Silverthorne, CO 80498 - Phone
- (303) 802-1022
- Fax
- (303) 802-1024
- NPI assigned
- Aug 11, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Blue River Vision PLLC
Practice addresses (Care Compare)
37 W 4TH St
E127
Silverthorne, CO 80498-9218
Phone (970) 451-0015
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180410001114 | CO | Practitioner - Optometry | 2062775802 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2671 | CO | MD | Optometrist |
| 636 | NM | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue River Vision PLLC | Optometrist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 636 | NM | |
| Optometrist | 152W00000X | 2671 | CO | Yes |
Addresses
Primary practice location
358 Blue River Parkway
Suite D
Silverthorne, CO 80498
Mailing address
PO Box 402
PMB 310
Dillion, CO 80435
Phone (970) 368-6539
Other practice location 1
15121 E Mississippi Ave
Attn: Dr. Jessica Hegewald
Aurora, CO 80012-3746
Phone (303) 802-1022
Other providers in Silverthorne, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.