Mark H Jeppesen, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

02199 Issued in IA

Practice address

2020 3Rd Ave NW
Waverly, IA 50677-2065

Phone

(319) 352-3490

Fax

(319) 352-0468

NPI assigned

Aug 17, 2005

Last updated

May 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Illinois College of Optometry at Chicago, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wolfe Clinic Eye Centers LCGroup PAC ID 1850285479, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mjeppesen@wolfe.intellechartdirect.net

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.

• Wolfe Clinic Eye Centers LC

  • Optometrist
  • Marshalltown, IA
  • NPI 1720067424
  Medicare reassignment Care Compare group NPD
• Wolfe Clinic Eye Centers LC

  • Eyewear Supplier
  • Grundy Center, IA
  • NPI 1952084717

  Corneal and Contact Management

  NPD
• Wolfe Clinic Inc

  • Ophthalmology Physician
  • Marshalltown, IA
  • NPI 1477532174

  Corneal and Contact Management

  NPD
• Wolfe Clinic Eye Centers LC

  dba Wolfe Family Vision Centers

  • Optometrist
  • Sac City, IA
  • NPI 1437118668

  Corneal and Contact Management

  NPD (past)

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1033101845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 B 3RD AVE NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "50677",
            "telephone_number": "319-352-3490",
            "fax_number": "319-352-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 3RD AVE NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772065",
            "telephone_number": "319-352-3490",
            "fax_number": "319-352-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPPESEN",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IA",
            "license": "02199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245969",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Ann Jahnke, PHARMD
• Megan Jasnowski, DPT
• Margaret M Jebe, OTR/L
• Gwen Jensen, LMSW
• Sierra Jensen
• Megan Marie Joerger
• Andrea Lynne Johnson, PMHNP-BC
• Erin Kaitlyn Johnson, ATC, PTA
• Scott B Johnson, PAC
• Josie Jones

• Corneal and Contact Management Optometrist in Waverly, IA
• Providers in Waverly, IA by specialty
• Corneal and Contact Management Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.