Jennifer Marie Wiernas, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9415TG Issued in TX

Practice address

6333 Camp Bowie Blvd Ste 272
Fort Worth, TX 76116-5444

Phone

(817) 738-9301

NPI assigned

Jul 16, 2018

Sex

Female

Sole proprietor

Yes

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 TX

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

University of Houston - College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyes on Camp Bowie PAGroup PAC ID 8628204518, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Eyes on Camp Bowie, PA

  • Optometrist
  • Fort Worth, TX
  • NPI 1982041562
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1932685682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 LAKE POWELL DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760163513",
            "telephone_number": "817-905-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 CAMP BOWIE BLVD STE 272",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165444",
            "telephone_number": "817-738-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERNAS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9415TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josef Widerhorn, M.D.
• Elizabeth Suzanne Widmer, P.A.-C
• Lisa Widmer, OTR
• April Rose Wiechmann, PHD
• Kasi Elaine Wielenga
• Carol Michelle Wiesner, NP
• Erin Nichelle Wiggins, M.A., LPC
• Nichelle E. Wiggins, PH.D.
• Ryley Faye Wiggins
• Kate Michael Wigginton, MD

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.