Jonathan Kingsley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

133101 Issued in IA

Practice address

2514 W Broadway
Council Bluffs, IA 51501-3509

Phone

(712) 322-3097

Fax

(712) 322-4130

NPI assigned

Aug 3, 2023

Last updated

Sep 12, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, NE, IA3 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 3

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Specialists of Papillion LLCGroup PAC ID 8729320411, 6 clinicians

Vision Specialists of Council Bluffs LLCGroup PAC ID 4183793938, 6 clinicians

Vision Specialists of Omaha LLCGroup PAC ID 7719212307, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkingsley@drbechererandassociates.emadirect.md

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.

• Vision Specialists of Council Bluffs LLC

  • Optometrist
  • Council Bluffs, IA
  • NPI 1831377084
  Medicare reassignment Care Compare group NPD
• Vision Specialists of Omaha LLC

  • Optometrist
  • Omaha, NE
  • NPI 1912564212
  Medicare reassignment Care Compare group NPD
• Vision Specialists of Papillion LLC

  • Optometrist
  • Papillion, NE
  • NPI 1659859734
  Medicare reassignment Care Compare group NPD
• Associated Vision Care, LTD

  dba Lakepointe Vision Care

  • Optometrist
  • O'Fallon, IL
  • NPI 1689370827
  Medicare reassignment NPD
• DRS. Becherer, Becherer & Associates, LTD

  • Corneal and Contact Management Optometrist
  • Belleville, IL
  • NPI 1336222124
  Medicare reassignment NPD
• Blink LLC

  dba Lakepointe Vision Center

  • Optometrist
  • O'Fallon, IL
  • NPI 1629187208
  NPD

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1033891585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 W BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013509",
            "telephone_number": "712-322-3097",
            "fax_number": "712-322-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 W BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013509",
            "telephone_number": "712-322-3097",
            "fax_number": "712-322-4130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Olson Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680462961",
            "country_code": "US",
            "telephone_number": "402-504-4257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3606 N 156th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681162163",
            "country_code": "US",
            "telephone_number": "402-205-0754 x18990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "JONATHAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1669",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "133101",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica A. Kilnoski, P.A.
• Jonathan L. Kilstrom, PA-C
• Thomas Kimberly, DDS
• Kindred
• Demianna King, H.I.S.
• Mark Gregory Kinnaman, CADC
• Margaret E Kinney, APRN
• Tiffany Rae Kinsley
• Rose Ellen Kirkpatrick, NCC, PLMHP, TLMHC
• Daniel C. Kjeldgaard, DC

• Optometrist in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.