Organization Active NPI

Ayers Eye Care, L.L.C.

  • Optometrist
  • Kenosha, WI
National Provider Identifier
1831406669
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3059-035 Issued in WI
Legal business name
AYERS EYE CARE, L.L.C.
Practice address
5027 Green Bay Rd Ste 110
Kenosha, WI 53144-1771
Phone
(262) 960-2015
Fax
(262) 925-9252
NPI assigned
Aug 31, 2010
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Dr. Jennifer L. Ayers, O.D.NPI 1932285400
Title
Optometrist/ Owner
Phone
(262) 960-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3059-035 WI Primary

Addresses

Primary practice location

5027 Green Bay Rd Ste 110
Kenosha, WI 53144-1771

Mailing address

5027 Green Bay Rd
Ste 110
Kenosha, WI 53144-1771
Phone (262) 925-9251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110719000203 WI Part B Supplier - Clinic/Group Practice 7113195132 Receives reassigned benefits from 1 practitioner
Practice locations: Kenosha, WI

National Provider Directory

National Provider Directory

Locations

5027 Green Bay Rd
Ste 11
Kenosha, WI 53144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1831406669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5027 GREEN BAY RD",
            "address_2": "STE 110",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441771",
            "telephone_number": "262-925-9251",
            "fax_number": "262-925-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5027 GREEN BAY RD STE 110",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441771",
            "telephone_number": "262-960-2015",
            "fax_number": "262-925-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYERS EYE CARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2023-10-06",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OPTOMETRIST/ OWNER",
        "authorized_official_telephone_number": "262-960-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3059-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.