NPIMap

Organization Active NPI

Jones Eye Care, PLLC

  • Optometrist
  • Idaho Falls, ID
National Provider Identifier
1114662418
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JONES EYE CARE, PLLC
Practice address
2300 E 17TH St SPC 157
Idaho Falls, ID 83404-6501
Phone
(208) 552-3355
Fax
(208) 552-6120
NPI assigned
May 1, 2022
Last updated
May 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

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

Authorized official

Name
Dr. Nathan Jones, ODNPI 1770109282
Title
Owner/Manager
Phone
(208) 351-9190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

2300 E 17TH St SPC 157
Idaho Falls, ID 83404-6501

Mailing address

PO Box 3187
Idaho Falls, ID 83403-3187

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220606000029 ID Part B Supplier - Clinic/Group Practice 0446638308 Receives reassigned benefits from 1 practitioner
Practice locations: Idaho Falls, ID

National Provider Directory

National Provider Directory

Locations

2300 E 17th St
Spc 157
Idaho Falls, ID 83404
Phone (208) 552-3355

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652572800000",
    "number": "1114662418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3187",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 17TH ST SPC 157",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046501",
            "telephone_number": "208-552-3355",
            "fax_number": "208-552-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-01",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "208-351-9190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.