| Jenni Corinne Drake, OD | |
|
4080 W Northern Ave, Pueblo, CO 81005-3503 | |
| (719) 676-2100 | |
| Not Available |
| Full Name | Jenni Corinne Drake |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 19 Years |
| Location | 4080 W Northern Ave, Pueblo, Colorado |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629278049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2603 (Colorado) | Primary |
| 152W00000X | Optometrist | OEG001914 (Pennsylvania) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 3d Vision, Inc | 0042356123 | 3 |
| Yah Vision | 8628328010 | 4 |
| Provider Name | 3d Vision, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053541854 PECOS PAC ID: 0042356123 Enrollment ID: O20091002000247 |
| Provider Name | Yah Vision |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417461823 PECOS PAC ID: 8628328010 Enrollment ID: O20180905003243 |
| Provider Name | Sweet Optics Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346899176 PECOS PAC ID: 7618380452 Enrollment ID: O20210115000590 |
| Provider Name | Gvr Vision Now Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740859511 PECOS PAC ID: 7012315039 Enrollment ID: O20211006000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenni Corinne Drake, OD 7590 Saddleback Rd, Beulah, CO 81023-9502 Ph: (215) 870-4624 | Jenni Corinne Drake, OD 4080 W Northern Ave, Pueblo, CO 81005-3503 Ph: (719) 676-2100 |
Robert K Browder Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 415 N Greenwood St, Ste F, Pueblo, CO 81003 Phone: 719-561-4365 Fax: 719-542-2140 | |
Cameran Ann Drake, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4080 W Northern Ave, Pueblo, CO 81005 Phone: 719-676-2100 | |
Hv Pueblo South Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1725 S Pueblo Blvd, Pueblo, CO 81005 Phone: 719-281-2633 | |
Dr. Michael R. Cozzetta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1620 Fortino Blvd, Pueblo, CO 81008 Phone: 719-542-3555 Fax: 719-542-0776 | |
3d Vision, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 400 N Santa Fe Ave, Pueblo, CO 81003 Phone: 719-676-2100 | |
Dr. Aaron Ransome & Associates P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1700 W Us Highway 50, Pueblo, CO 81008 Phone: 719-404-5000 | |
Brooke Lally, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 712 Fortino Blvd, Pueblo, CO 81008 Phone: 719-542-0236 |