Alison Marie Jenerou, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004650 Issued in MI

Practice address

1124 S State St
Big Rapids, MI 49307-2256

Phone

(231) 391-2173

NPI assigned

Aug 3, 2011

Last updated

Aug 3, 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 names 1

• Alison Eggebrecht Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canadian Lakes Eyecare, P.L.L.C.Group PAC ID 4789735333, 2 clinicians

Ferris State UniversityGroup PAC ID 3971572124, 27 clinicians

Practice addresses (Care Compare)

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.

• Canadian Lakes Eyecare, P.L.L.C.

  dba Canadian Lakes Eyecare

  • Optometrist
  • Canadian Lakes, MI
  • NPI 1780810598
  Medicare reassignment Care Compare group NPD
• Ferris State University

  dba University Eye Center

  • Optometrist
  • Big Rapids, MI
  • NPI 1871510859
  Medicare reassignment Care Compare group
• Kaczmarski Hearing Services, Inc

  • Audiologist-Hearing Aid Fitter
  • Wyoming, MI
  • NPI 1114096716
  NPD

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1861770158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20130 ORCHARD LN",
            "city": "HOWARD CITY",
            "state": "MI",
            "postal_code": "493298947",
            "telephone_number": "231-350-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 S STATE ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072256",
            "telephone_number": "231-391-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENEROU",
        "first_name": "ALISON",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "EGGEBRECHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Rachelle Jackson
• Bonita Jacque, RPH
• Tammy L Jamett-Yount, PHARM D
• Timothy Russel Jelsema, MD
• Carissa J Jenema, DPT, PT
• Jenna Jenkins, PHARMD
• John Garlick D.D.S., P.C.
• John N Campbell MD PC (Big Rapids Clinic)
• Ann Johnson
• Gina M Johnson, FNP

• Optometrist in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.