Individual provider Active NPI

Jennifer Lee Branning, OD

  • Optometrist
  • Ludington, MI
National Provider Identifier
1962470070
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002994 Issued in MI
Practice address
409 W Ludington Ave
Ludington, MI 49431
Phone
(213) 843-4117
Fax
(231) 843-7631
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002994 MI Primary

Addresses

Primary practice location

409 W Ludington Ave
Ludington, MI 49431

Mailing address

409 W Ludington Ave
Ludington, MI 49431
Phone (213) 843-4117

Other identifiers 2

IdentifierTypeStateIssuer
1138520001OtherMIADMINSTAR
3305212MedicaidMI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040922000033 MI Practitioner - Optometry 5890763403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Shore Eye Care PCGroup PAC ID 0446228050, 3 clinicians

Practice addresses (Care Compare)

409 W Ludington Ave
Ludington, MI 49431-2377

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as group
Quality
86.49
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901002994MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Shore Eye Care Current Accepting new patients

Locations

409 W Ludington Ave
Ste 102
Ludington, MI 49431
Phone (231) 843-4117

409 W Ludington Ave
Ludington, MI 49431
Phone (231) 843-4117

Interoperability endpoints

  • Direct secure messaging: jenniferbranning@direct.revolutionehr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962470070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W LUDINGTON AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "49431",
            "telephone_number": "213-843-4117",
            "fax_number": "231-843-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W LUDINGTON AVE",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "49431",
            "telephone_number": "213-843-4117",
            "fax_number": "231-843-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNING",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINSTAR",
            "identifier": "1138520001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3305212",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.