Active NPI
Jason A Nesheim, OD
- Optometrist
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02095
- Practice address
- 1905 E P True Parkway
Ste 103
West Des Moines, IA 50265 - Phone
- (515) 225-0877
- Fax
- (515) 225-9518
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Optometrist
- Creston, IA
- NPI 1548023518
-
- Optometrist
- Fort Dodge, IA
- NPI 1104689165
-
- Optometrist
- Atlantic, IA
- NPI 1215790290
-
- Optometrist
- Creston, IA
- NPI 1770346751
-
- Optometrist
- Grinnell, IA
- NPI 1801659792
-
- Optometrist
- Red Oak, IA
- NPI 1881457760
-
- Optometrist
- Des Moines, IA
- NPI 1972535722
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eye Care Associates of Co LLC
Practice addresses (Care Compare)
2574 Hubbell Ave
Suite 111
Des Moines, IA 50317-6102
Phone (515) 262-1094
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100721000192 | IA | Practitioner - Optometry | 6305808197 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Eye Care of Iowa P.C. | Optometrist | Past | Accepting new patients |
Locations
1310 SW State St
Ste A
Ankeny, IA 50023
Phone (515) 965-5788
200 Army Post Rd
Des Moines, IA 50315
Phone (515) 287-5565
2574 Hubbell Ave
Ste 111
Des Moines, IA 50317
Phone (515) 262-1094
1534 28th Ave N
#515
Fort Dodge, IA 50501
Phone (515) 573-1145
5075 E University Ave
Ste C
Pleasant Hill, IA 50327
Phone (515) 265-5322
1905 Ep True Pkwy
Ste 103
West Des Moines, IA 50265
Phone (515) 225-0877
1905 Ep True Pkwy
West Des Moines, IA 50265
Phone (515) 225-0877
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02095 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1905 E P True Parkway
Ste 103
West Des Moines, IA 50265
Mailing address
1905 E P True Parkway
Ste 103
West Des Moines, IA 50265
Phone (515) 225-0877
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0158865 | Medicaid | IA | |
| 1158865 | Medicaid | IA | |
| 3158865 | Medicaid | IA | |
| 2158865 | Medicaid | IA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2008.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1104875319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 E P TRUE PARKWAY",
"address_2": "STE 103",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "50265",
"telephone_number": "515-225-0877",
"fax_number": "515-225-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 E P TRUE PARKWAY",
"address_2": "STE 103",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "50265",
"telephone_number": "515-225-0877",
"fax_number": "515-225-9518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESHEIM",
"first_name": "JASON",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "02095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0158865",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1158865",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3158865",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2158865",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.