Jubilee Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JUBILEE EYE CARE, LLC

Doing business as

Vision Source of Hays

Practice address

2203 Canterbury Dr
Hays, KS 67601-2341

Phone

(785) 625-3937

NPI assigned

Jun 13, 2022

Organization subpart

No

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

Authorized official

Name

Mark Wahlmeier, ODNPI 1144295031

Title

Owner/Optometrist

Phone

(785) 625-3937

Specialties & licenses 1

Addresses

Other names 1

• Vision Source of Hays Doing business as

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark F Wahlmeier, OD

  • Optometrist
  • Goodland, KS
  • NPI 1144295031
  Medicare reassignment NPD Authorized official
• Stacey R Jones, O.D.

  • Optometrist
  • Hays, KS
  • NPI 1356337901
  NPD
• Kendall L Krug, O.D.

  • Optometrist
  • Hays, KS
  • NPI 1780679605
  NPD (past)

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1053041079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012341",
            "telephone_number": "785-625-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012341",
            "telephone_number": "785-625-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "WAHLMEIER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "785-625-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source of Hays",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jarrod E Jones
• Kevin Douglas Jones, PHARM.D.
• Paul W Jones, D.D.S
• Stacey R Jones, O.D.
• Stephanie Jean Jones, CRNA
• Courtney Kaba, DDS
• William Kaberlein
• Kaira M. Hayes
• Carrie Kaltenbach, RN
• Greg Kandt, ED.D, ACSM RCEP

• Optometrist in Hays, KS
• Providers in Hays, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.