Jenna Dewald, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6541 Issued in OH

Practice address

3373 Princeton Rd Ste 121
Hamilton, OH 45011-7963

Phone

(513) 893-2900

NPI assigned

May 24, 2017

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 WA

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

Ohio State University - College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Eye and Vision Clinic , PLLCGroup PAC ID 7719313790, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drdewald@melissa-barnhart-od.direct.kno2fy.com

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.

• Valley Eye and Vision Clinic PLLC

  • Optometrist
  • Moses Lake, WA
  • NPI 1881236909
  Medicare reassignment Care Compare group NPD (past)
• Melissa Barnhart, OD, PLLC

  • Optometrist
  • Spokane, WA
  • NPI 1861833378
  Medicare reassignment NPD
• James P Devleming, OD

  • Optometrist
  • Pullman, WA
  • NPI 1265511802
  Medicare reassignment
• James C Wavra

  • Optometrist
  • Spokane, WA
  • NPI 1841205630
  NPD (past)

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1982132767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 S CANYON WOODS LN",
            "address_2": "APT 308",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992245722",
            "telephone_number": "513-893-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3373 PRINCETON RD STE 121",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450117963",
            "telephone_number": "513-893-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWALD",
        "first_name": "JENNA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lou Dennis
• Kevin Mark Denzler, MA, LPCC
• Vicky L Derderian, LPTA
• Chelsea Detrick
• Madesyn Devivo
• Rachel Dewitt
• Samantha Diawara
• William Harold Dickhoner, M.D.
• Diederick Van Der Velde
• Nyah N Diefenbacher

• Optometrist in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.