Individual provider Active NPI

Jon Davis Wiese, MD

  • Ophthalmology Physician
  • Dubuque, IA
National Provider Identifier
1114676343
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
57333 Issued in IA
Practice address
2140 JFK Rd Ste F
Dubuque, IA 52002-3807
Phone
(563) 582-0769
Fax
(563) 582-5772
NPI assigned
Mar 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 57333 IA Primary

Addresses

Primary practice location

2140 JFK Rd Ste F
Dubuque, IA 52002-3807

Mailing address

2140 JFK Rd Ste F
Dubuque, IA 52002-3807
Phone (563) 582-0769

Other practice location 1

819 9th St SE Ste B
Dyersville, IA 52040-2325
Phone (563) 582-0769

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fuerste Eye Clinic Ophthalmology Past Accepting new patients
Fuerste Eye Clinic Ophthalmology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDFFBA/Endpoint/IDFFBA
  • Direct secure messaging: jwiese580114@direct.shands.ufl.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDFFBA

Organizations & group practices 2

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1114676343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 JFK RD STE F",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023807",
            "telephone_number": "563-582-0769",
            "fax_number": "563-582-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 JFK RD STE F",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023807",
            "telephone_number": "563-582-0769",
            "fax_number": "563-582-5772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 9th St SE Ste B",
            "address_purpose": "LOCATION",
            "city": "Dyersville",
            "state": "IA",
            "postal_code": "520402325",
            "country_code": "US",
            "telephone_number": "563-582-0769",
            "fax_number": "563-582-5772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIESE",
        "first_name": "JON",
        "middle_name": "DAVIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "57333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.