Jonathan P Anderson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

02145 Issued in IA

Practice address

225 W Ashland
Ste 1
Indianola, IA 50125

Phone

(515) 961-5305

Fax

(515) 961-9225

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Associates of Warren County PCGroup PAC ID 2567350226, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jonathananderson@optometricassoc.direct.eyemdemr.com
• Direct secure messaging: jonathanandersonod@optometricassoc.direct.eyemdemr.com

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.

• Optometric Associates of Warren County PC

  • Optometrist
  • Norwalk, IA
  • NPI 1962453779

  IA, Optometrist

  Medicare reassignment Care Compare group NPD
• Optometric Associates of Warren County PC

  • Optometrist
  • Carlisle, IA
  • NPI 1053362863
  Care Compare group NPD (past)
• Optometric Associates of Warren County PC

  • Optometrist
  • Indianola, IA
  • NPI 1144271958
  Care Compare group NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1124079934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W ASHLAND AVE",
            "address_2": "STE 1",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252462",
            "telephone_number": "515-961-5305",
            "fax_number": "515-961-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W ASHLAND",
            "address_2": "STE 1",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "50125",
            "telephone_number": "515-961-5305",
            "fax_number": "515-961-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JONATHAN",
        "middle_name": "P",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2278069",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0278069",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1278069",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 21St Century Rehab PC
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• Generosa D Archer, PHARMD
• Jillian Atkinson, DPT
• Avitt Enterprises, Inc.
• Laura A Avitt, DC
• Jeffrey Jack Bates, PHARMD

• All providers in Indianola, IA
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.

Verify at the official NPI Registry.