Alicia Triplett Janssen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010476 Issued in IL

Practice address

6620 Center Grove Rd
Edwardsville, IL 62025-2802

Phone

(618) 659-1900

Fax

(618) 659-1901

NPI assigned

Jul 14, 2011

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 IL

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metro Eye Care PCGroup PAC ID 0244256014, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Metro Eye Care PC

  • Optometrist
  • Edwardsville, IL
  • NPI 1598953994
  Medicare reassignment Care Compare group NPD
• Fireside Eye Care, P.C.

  • Optometrist
  • Benld, IL
  • NPI 1447448717
  Medicare reassignment NPD

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1831487610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 CENTER GROVE RD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252802",
            "telephone_number": "618-659-1900",
            "fax_number": "618-659-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 CENTER GROVE RD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252802",
            "telephone_number": "618-659-1900",
            "fax_number": "618-659-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "ALICIA",
        "middle_name": "TRIPLETT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Mae Iwakiri
• Debra Marlene Jackson, MS-CCC/SLP
• Jacob M Funk, LLC
• Jazmine Jacobb
• Alexander R James, PH.D.
• Jeffrey S. Hammer, M.D., LLC
• Heather Sue Jenny, PT
• Cierra Janiece Jethro
• Jeremy Dean Jewell, PH.D.
• Jewelride LLC

• Optometrist in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.