Individual provider Active NPI

Jennifer Blaurock, OD

  • Optometrist
  • Denver, CO
National Provider Identifier
1861520942
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2975 Issued in CO
Practice address
8370 Northfield Blvd
Ste 1795
Denver, CO 80238-3132
Phone
(303) 373-1700
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 11042 TPA CA
Optometrist 152W00000X 2975 CO Primary

Addresses

Primary practice location

8370 Northfield Blvd
Ste 1795
Denver, CO 80238-3132

Mailing address

577 W Willow CT
Louisville, CO 80027-1668
Phone (760) 285-4165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 11042 TPACAMDOptometrist
2975COMDOptometrist
502NMMDHearing Instrument Specialist
11042CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winrock Vision Inc Optometrist Current Accepting new patients

Locations

8370 E Northfield Blvd
Unit 1795
Denver, CO 80238
Phone (303) 373-1700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1861520942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 W WILLOW CT",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271668",
            "telephone_number": "760-285-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 NORTHFIELD BLVD",
            "address_2": "STE 1795",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383132",
            "telephone_number": "303-373-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUROCK",
        "first_name": "JENNIFER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 11042 TPA",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.