Individual provider Active NPI

Jason A Nesheim, OD

  • Optometrist
  • West Des Moines, IA
National Provider Identifier
1104875319
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02095 Issued in IA
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.

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 63 clinicians

Practice addresses (Care Compare)

2574 Hubbell Ave
Suite 111
Des Moines, IA 50317-6102
Phone (515) 262-1094

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100721000192 IA Practitioner - Optometry 6305808197 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Jun 2, 2023 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Jun 2, 2023 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)CodeLicenseStatePrimary
Optometrist 152W00000X 02095 IA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
0158865MedicaidIA
1158865MedicaidIA
3158865MedicaidIA
2158865MedicaidIA

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

Verify at the official NPI Registry.