Active NPI
Katherine Brauss Jensen, OD
- Low Vision Rehabilitation Optometrist
- Wilton Manors, FL
National Provider Identifier
1912190604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- OPC4114
- Practice address
- 2301 Wilton Dr
C-1
Wilton Manors, FL 33305-1202 - Phone
- (954) 764-6906
- Fax
- (954) 463-7933
- NPI assigned
- Aug 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | OPC4114 | FL | Primary |
| Optometrist | 152W00000X | OPC4114 | FL |
Addresses
Primary practice location
2301 Wilton Dr
C-1
Wilton Manors, FL 33305-1202
Mailing address
2301 Wilton Dr
C-1
Wilton Manors, FL 33305-1202
Phone (954) 764-6906
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000J1 | Other | FL | BCBSFL |
| 621354500 | Medicaid | FL | |
| 0227079 | Other | FL | UNITEDHEALTHCARE |
Other names 1
- Dr. Katherine M Brauss
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4114 | FL | MD | Low Vision Rehabilitation Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1912190604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 WILTON DR",
"address_2": "C-1",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051202",
"telephone_number": "954-764-6906",
"fax_number": "954-463-7933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 WILTON DR",
"address_2": "C-1",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051202",
"telephone_number": "954-764-6906",
"fax_number": "954-463-7933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "KATHERINE",
"middle_name": "BRAUSS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-25",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "FL",
"license": "OPC4114",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4114",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "000J1",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "621354500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "0227079",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "BRAUSS",
"middle_name": "M",
"prefix": "DR.",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wilton Manors, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.