Jessica Laynne Fowler, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3148 Issued in CT

Practice address

1013 Farmington Ave
West Hartford, CT 06107-2181

Phone

(620) 687-4038

NPI assigned

Oct 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT, MO2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care LLCGroup PAC ID 4385544600, 49 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jfowler2@direct.dvc.nextgenshare.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.

• Eye Care, LLC

  • Ophthalmology Physician
  • Harrisonville, MO
  • NPI 1609066034

  Optometrist

  Medicare reassignment Care Compare group NPD
• Solinsky Eyecare LLC

  • Ophthalmology Physician
  • West Hartford, CT
  • NPI 1760451470
  Medicare reassignment NPD
• Solinsky Eyecare LLC

  • Durable Medical Equipment & Medical Supplies
  • Wallingford, CT
  • NPI 1104407246

  Optometrist

  NPD
• Eye Care LLC

  • Ophthalmology Physician
  • Independence, MO
  • NPI 1750374567

  Optometrist

  NPD
• Eye Care, LLC

  • Optometrist
  • Raymore, MO
  • NPI 1023597127
  NPD

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1992347181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S CLIFF AVE STE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556954",
            "telephone_number": "816-350-4536",
            "fax_number": "816-350-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072181",
            "telephone_number": "620-687-4038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 NW Murray Rd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640811425",
            "country_code": "US",
            "telephone_number": "816-478-1230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4741 S Cochise Dr",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640556974",
            "country_code": "US",
            "telephone_number": "816-478-1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JESSICA",
        "middle_name": "LAYNNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2023004714",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2023004714",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Follett, APRN
• Nancy Eaton Ford, MSPT
• Jennifer Forman, PHARM.D
• Kelly Ann Forman, RDN
• Jennifer Lynn Foster, APRN
• Kristen Fowler
• Ellen F Foxman, M.D., PH.D.
• Renae France, MPH, RD
• Jeanetta Viola Francis, REGISTERED NURSE, BS
• Pansy Francis

• Optometrist in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.