Individual provider Active NPI

Jonathan Wilson Harper, O.D.

  • Optometrist
  • Colville, WA
National Provider Identifier
1104159284
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60083989 Issued in WA
Practice address
298 S Main St
Suite 301
Colville, WA 99114-2447
Phone
(509) 684-2221
Fax
(509) 684-6222
NPI assigned
Sep 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60083989 WA Primary

Addresses

Primary practice location

298 S Main St
Suite 301
Colville, WA 99114-2447

Mailing address

298 S Main St
Suite 301
Colville, WA 99114-2447
Phone (509) 684-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20110301000676 WA Practitioner - Optometry 8527249218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

245 N Oak St
Colville, WA 99114-2947
Phone (509) 684-2221

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60083989WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Colville Valley Eyecare, PLLC Optometrist CurrentSince Jan 1, 2013 Accepting new patients

Locations

245 N Oak St
Colville, WA 99114
Phone (509) 684-2221

298 S Main St
Ste 301
Colville, WA 99114
Phone (509) 684-2221

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1104159284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 S MAIN ST",
            "address_2": "SUITE 301",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142447",
            "telephone_number": "509-684-2221",
            "fax_number": "509-684-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 S MAIN ST",
            "address_2": "SUITE 301",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142447",
            "telephone_number": "509-684-2221",
            "fax_number": "509-684-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "JONATHAN",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60083989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

Verify at the official NPI Registry.