JENNIFER J DOTTERWEICH OPTOMETRY, PC (NPI# 1538483151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538483151 |
| Entity Type | Organization |
| Organization Name | JENNIFER J DOTTERWEICH OPTOMETRY, PC |
| Other Organization Name | LIVINGSTON EYE CARE |
| Practice Address |
243 E Main St Avon NY 14414-1421 |
| Practice Telephone | 5852263400 |
| Practice Fax Number | 5854384148 |
| Mailing Telephone | 5852263400 |
| Mailing Fax Number | 5854384148 |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2016-03-18 |
| Authorized Official Name | DR. JENNIFER J DOTTERWEICH (PRESIDENT) |
| Authorized Official Telephone | 5852263400 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | 6150 | NY | Suppliers |
| Y | 152W00000X | Optometrist | 6150 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE PTAN | 6358210001 | 01 |
| Other Name | Type Code |
|---|---|
| Livingston Eye Care | Doing Business As Name - Organization |
| Street Address |
243 E MAIN ST |
| City | AVON |
| State | NY |
| Zip Code | 14414-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194784694 | Jennifer J Dotterweich | Optometrist | 243 E Main St, Avon, NY 14414-1421 | 2006-03-22 |
| 1659569606 | Jennifer J. Dotterweich, Od, Pllc | Optometrist | 243 E Main St, Avon, NY 14414-1421 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205059185 | Peter J. Dolan | Physician Assistant | 2077 Lakeville Rd, Suite 3, Avon, NY 14414 | 2007-04-10 |
| 1710053335 | Steven Richard Bruno | Dentist | 478 Collins Street, Avon Family Dental Care, Avon, NY 14414 | 2006-11-27 |
| 1225146640 | Michael Kevin Oros | Dentist | 39 West Main Street, Avon, NY 14414 | 2006-08-26 |
| 1275854556 | Wesley Herrick Marean IIi | Occupational Therapy Assistant | 17 Bronson Ave, Avon, NY 14414-1001 | 2010-06-21 |
| 1114334026 | Heather Marie Lynn Gerace | Specialist/Technologist | 96 High St, Avon, NY 14414-1004 | 2014-07-14 |
| 1588986277 | Theresa M Rosa | Licensed Practical Nurse | 45 High St, Apt. 1, Avon, NY 14414-1070 | 2010-02-22 |
| 1265886097 | Carol Schrader | Registered Nurse | 15 Wadsworth Ave, Avon, NY 14414-1123 | 2016-04-18 |
| 1275959447 | Michelle Fries | Specialist | 87 Wadsworth Ave, Avon, NY 14414-1125 | 2014-03-12 |
| 1437245255 | Richard Lynn Schillinger | Dentist | 74 W Main St, Avon, NY 14414-1136 | 2006-10-05 |
| 1366533887 | Stephanie Lynn Burroughs | Dentist | 74 W Main St, Avon, NY 14414-1136 | 2006-09-28 |
| Find all providers in zip 14414 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720613136 | Northern Ohio Eye Consultants Inc | Optometrist | 36991 American Way, Avon, OH 44011-4060 | 2020-03-05 |
| 1174165229 | City Optical Co., Inc. | Optometrist | 7900 E Us Highway 36 Ste D, Avon, IN 46123-7791 | 2019-10-10 |
| 1518519966 | Chan Thanh Van Tran | Optometrist | 35825 Detroit Rd, Avon, OH 44011-3000 | 2019-07-15 |
| 1821581554 | Eric Ward | Optometrist | 35825 Detroit Rd Ste 107, Avon, OH 44011-3001 | 2018-06-07 |
| 1376078451 | Norman Eyecare Ltd. | Optometrist | 5250 E Us Highway 36 Ste 240, Avon, IN 46123-9142 | 2017-04-26 |
| 1023423787 | Woodall Eye Care, P.C. | Optometrist | 479 Creekwood Dr, Unit #158, Avon, IN 46123-9276 | 2014-06-20 |
| 1891120564 | Michael Dennis Barry | Optometrist | 171 Yoder Av., Avon, CO 81620-1910 | 2013-09-12 |
| 1407085681 | Andrea Lynne Fisher | Optometrist | 38530 Chester Rd, Suite 300, Avon, OH 44011-4047 | 2009-07-08 |
| 1073741849 | Elizabeth D Allspaw | Optometrist | 8111 E Us Highway 36, Avon, IN 46123 | 2009-06-30 |
| 1649424037 | Antonio Martinnez Turner Sr. | Optometrist | 5201 E Us Highway 36, 402, Avon, IN 46123-7837 | 2008-11-11 |
| Find all providers in AVON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.