Jennifer Marie Gudas, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003318B Issued in IN

Practice address

633 E 13TH St
Winamac, IN 46996-1157

Phone

(574) 946-3944

Fax

(574) 946-6843

NPI assigned

Sep 13, 2006

Last updated

Dec 14, 2011By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Illinois College of Optometry at Chicago, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jennifer M Gudas OD, PC

  • Optometrist
  • Winamac, IN
  • NPI 1073882429
  Medicare reassignment NPD Authorized official
• Dr. Dennis E. Cowley, P.C.

  • Optometrist
  • Winamac, IN
  • NPI 1528039369
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323820800000",
    "number": "1841395209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469960365",
            "telephone_number": "574-946-3944",
            "fax_number": "574-946-6843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E 13TH ST",
            "city": "WINAMAC",
            "state": "IN",
            "postal_code": "469961157",
            "telephone_number": "574-946-3944",
            "fax_number": "574-946-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDAS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003318B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200494530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alexa Good, NP
• Pamela D Graham, LSW
• Scott Collin Harrod, PHARMD
• Mark A Heal, DC
• Bruce D Hermann, DC
• Teresa L Hiatt, BGS
• Ruth A Hood, BS

• Optometrist in Winamac, IN
• Providers in Winamac, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.