Jill Marie Germain, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3095-035 Issued in WI

Practice address

2101 W Broadway
Monona, WI 53713-1638

Phone

(715) 965-6748

NPI assigned

Nov 1, 2007

Last updated

Sep 8, 2008By 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

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

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.

• Midline Vision Clinics SC

  • Optometrist
  • Madison, WI
  • NPI 1114157427
  Medicare reassignment
• Midline Vision Group LLC

  • Optometrist
  • Mosinee, WI
  • NPI 1699051052
  Medicare reassignment
• Midline Vision Group, LLC

  • Optometrist
  • Fitchburg, WI
  • NPI 1285343301
  NPD
• Shopko Stores Operating Co LLC

  dba ShopKo Pharmacy 024

  • Community/Retail Pharmacy
  • Eau Claire, WI
  • NPI 1720034176
  NPD (past)

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1932388394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 W BROADWAY",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131638",
            "telephone_number": "715-965-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W BROADWAY",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537131638",
            "telephone_number": "715-965-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAIN",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3095-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Gaines
• Rebekka Gallardo, PA STUDENT
• Teresa Marie Geier
• Jennifer Marie George, PHARM.D,
• David Edgar Gerhardt, R.PH.
• Stephenie M Gilbert, B.S
• Kathryn Giswold, D.D.S.
• Maureen K Godec
• Katherine Ann Gonzaga, MD
• Dana Goodman, LPC

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

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