Active NPI
Jennifer Lee Branning, OD
- Optometrist
- Ludington, MI
National Provider Identifier
1962470070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002994
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1138520001 | Other | MI | ADMINSTAR |
| 3305212 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
409 W Ludington Ave
Ludington, MI 49431-2377
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.24 of 100
- Quality
- 86.49
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901002994 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Optometrist
- Ludington, MI
- NPI 1619165800
-
- Durable Medical Equipment & Medical Supplies
- Ludington, MI
- NPI 1073700654
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.