Jennifer Buell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14611 Issued in CA

Practice address

1537 Pacific Ave
Suite 100
Santa Cruz, CA 95060-3942

Phone

(831) 429-2020

Fax

(831) 429-2945

NPI assigned

Jun 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Plaza Lane OptometryGroup PAC ID 3870949639, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Plaza Lane Optometry

  • Optometrist
  • Santa Cruz, CA
  • NPI 1306921457
  Medicare reassignment Care Compare group NPD
• Curtis M. Simmons, O.D.

  • Optometrist
  • Santa Cruz, CA
  • NPI 1821069154
  Medicare reassignment
• Craig Fellers OD Inc

  dba Midtown Optometry

  • Occupational Vision Optometrist
  • Santa Cruz, CA
  • NPI 1427446749
  NPD
• John a Van Every OD

  • Optometrist
  • Santa Cruz, CA
  • NPI 1255566014
  NPD
• Anthony P. Giannotti OD Professional Optometric Corp

  • Optometrist
  • Scotts Valley, CA
  • NPI 1952661837
  NPD (past)

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1780023226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 PACIFIC AVE",
            "address_2": "SUITE 100",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603942",
            "telephone_number": "831-429-2020",
            "fax_number": "831-429-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 PACIFIC AVE",
            "address_2": "SUITE 100",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603942",
            "telephone_number": "831-429-2020",
            "fax_number": "831-429-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUELL",
        "first_name": "JENNIFER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Margaret Buchanan, MD
• Alan Leland Buchwald, M.D.
• Cassy Buckingham, MA, PA
• Trevor William Buckley
• James Buehring
• Jennifer Carrin Buesing
• Lan Chen Bullock, RN
• Dona Bumgarner
• Mary Jo Bumstead, MFTI
• Issa Bunch

• Optometrist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.