Michelle Dawn Jones, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002430 Issued in IA

Practice address

518 Franklin St
Pella, IA 50219-1636

Phone

(641) 230-7015

NPI assigned

Jun 23, 2008

Last updated

Aug 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Dawn Van Vark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Child and Family Eyecare, P.C.

  • Optometrist
  • Pella, IA
  • NPI 1447412861
  Authorized official Same address or phone

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1023279908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 FRANKLIN ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191636",
            "telephone_number": "641-230-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 FRANKLIN ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191636",
            "telephone_number": "641-230-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHELLE",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "VAN VARK",
            "middle_name": "DAWN",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheyanna Jennings
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• Andrew Joseph Johnson, CRNA
• Jake Johnson
• Kevin Robert Jones, O.D.
• Jill Jordahl-Ball, PSYD
• Mindi Jo Jorgenson, PHARMD
• K D Enterprises Co Inc (Crown Pharmacy)
• Stewart Douglas Kanis, DO
• Alicia Mae Kautzman, PHYSICAL THERAPIST

• Optometrist in Pella, IA
• Providers in Pella, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.