Individual provider Active NPI

Janice I. Jarrett

  • Optometrist
  • Denver, CO
National Provider Identifier
1811978869
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1310 Issued in CO
Practice address
1336 Leyden St
Denver, CO 80220-2805
Phone
(303) 333-9898
Fax
(303) 333-0719
NPI assigned
Nov 8, 2005
Last updated
Jun 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1310 CO Primary

Addresses

Primary practice location

1336 Leyden St
Denver, CO 80220-2805

Mailing address

1336 Leyden St
Denver, CO 80220-2805
Phone (303) 333-9898

Other identifiers 1

IdentifierTypeStateIssuer
08013104MedicaidCO

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050113000797 CO Practitioner - Optometry 9436115193 Reassigns benefits to 1 organization
Practice locations: Denver, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1310COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Envy Vision Inc Optometrist CurrentSince Jul 1, 2024 Accepting new patients

Locations

700 S Buckley Rd
Apt K
Aurora, CO 80017
Phone (720) 762-4290

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1811978869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 LEYDEN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202805",
            "telephone_number": "303-333-9898",
            "fax_number": "303-333-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 LEYDEN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202805",
            "telephone_number": "303-333-9898",
            "fax_number": "303-333-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRETT",
        "first_name": "JANICE",
        "middle_name": "I.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08013104",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.