Jessica J Hegewald, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2671 Issued in 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

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Pacific University - College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue River Vision PLLCGroup PAC ID 1153684998, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Blue River Vision PLLC

  • Optometrist
  • Silverthorne, CO
  • NPI 1609387703
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740436732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "address_2": "PMB 310",
            "city": "DILLION",
            "state": "CO",
            "postal_code": "80435",
            "telephone_number": "970-368-6539",
            "fax_number": "970-368-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 BLUE RIVER PARKWAY",
            "address_2": "SUITE D",
            "city": "SILVERTHORNE",
            "state": "CO",
            "postal_code": "80498",
            "telephone_number": "303-802-1022",
            "fax_number": "303-802-1024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15121 E Mississippi Ave",
            "address_2": "Attn: Dr. Jessica Hegewald",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800123746",
            "country_code": "US",
            "telephone_number": "303-802-1022",
            "fax_number": "303-802-1024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEGEWALD",
        "first_name": "JESSICA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "636",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Buck Goble, D.O.
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• Healing Folk Food & Nutritional Consultation (Healing Folk Counseling)
• Judith Ann Herkert Notaro, OTR
• High Country Health Care PC
• John D Hillman, MD
• April Frances Kemp, LPC
• Laura A Kriss, LPC

• Optometrist in Silverthorne, CO
• Providers in Silverthorne, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.