Brian J Jurgens, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2499 Issued in WI

Practice address

2300 N Mayfair Rd
#1155
Wauwatosa, WI 53226-1505

Phone

(414) 258-6880

Fax

(414) 258-5686

NPI assigned

Oct 10, 2005

Last updated

Aug 8, 2008By the provider in NPPES

Sex

Male

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 WI

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

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.

• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Shorewood, WI
  • NPI 1154699445
  Medicare reassignment NPD
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD
• Eye Physician Associates, S.C.

  • Ophthalmology Physician
  • Mequon, WI
  • NPI 1427347822

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1871581330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N MAYFAIR RD",
            "address_2": "#1155",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261505",
            "telephone_number": "414-258-6880",
            "fax_number": "414-258-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N MAYFAIR RD",
            "address_2": "#1155",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261505",
            "telephone_number": "414-258-6880",
            "fax_number": "414-258-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURGENS",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38589600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pilar Amelia Joseph, LPC-IT, CRC
• Sarah B Joseph
• JT Medical Services, Inc.
• John F. Juern, PHD
• Nicholas Robert Julga, PA-C
• Just Shuttle LLC
• Stephanie Ann Kaatz, COTA
• Mary Beth Kaiser, RDH
• Nancy Margaret Kalmerton, MS
• Roxanne J Kane, M.D.

• Optometrist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.