Jennifer A Hazelwood Ugarte, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5764 Issued in OH

Practice address

3612 Ridgewood Rd
Fairlawn, OH 44333-3124

Phone

(330) 668-0150

NPI assigned

Feb 8, 2007

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

Other names 1

• Dr. Jennifer A Hazelwood Ugarte Professional name

Medicare fee-for-service enrollment

Enrolled in OH

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

New England College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• The Eye Site in Copley, LLC

  • Optometrist
  • Fairlawn, OH
  • NPI 1205085628
  Medicare reassignment NPD
• The Eye Site at New Seasons LLC

  • Optometrist
  • Akron, OH
  • NPI 1851811392
  NPD
• Boston Medical Center Corporation

  • Home Infusion Therapy Pharmacy
  • Randolph, MA
  • NPI 1003703281
  NPD (past)
• New England Eye Institute Inc.

  • Optometrist
  • Boston, MA
  • NPI 1487607388
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1801936638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 RIDGEWOOD RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333124",
            "telephone_number": "330-668-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 RIDGEWOOD RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333124",
            "telephone_number": "330-668-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZELWOOD UGARTE",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HAZELWOOD UGARTE",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Haven Home Care, Inc.
• Haven Skilled Care of Canton LLC
• Gregory William John Hawryluk, MD, PHD, FRCSC
• Brandon Hayes
• Stephanie Haynes, CNP
• Healthspan Integrated Care
• Healthspan Physicians, LLC
• Jonathan J Hearn
• Heartfelt Cares LLC
• Brandi Lynn Heffelfinger, CNP

• Optometrist in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.