Individual provider Active NPI

Jonathan Hoaglund, OD

  • Optometrist
  • Denison, IA
National Provider Identifier
1124689740
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
096688 Issued in IA
Practice address
201 N Main St
Denison, IA 51442-1373
Phone
(712) 263-2020
Fax
(712) 263-4053
NPI assigned
Jun 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 096688 IA Primary

Addresses

Primary practice location

201 N Main St
Denison, IA 51442-1373

Mailing address

201 N Main St
Denison, IA 51442-1373
Phone (712) 263-2020

Other practice location 1

320 Main St
Manning, IA 51455-1041
Phone (712) 655-2020

Other practice location 2

402 Main St
Mapleton, IA 51034-1213
Phone (712) 882-2020

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
I20191116000076 IA Practitioner - Optometry 6406288299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Care Clinic PCGroup PAC ID 8325931223, 7 clinicians

Practice addresses (Care Compare)

200 S 29TH St
Council Bluffs, IA 51501-3449
Phone (712) 325-4999

Merit-based Incentive Payment System (MIPS)

Final score
93.32 of 100Reported as individual
Quality
85.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096688IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Care Clinic PC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Vision Care Clinic PC Optometrist Current Accepting new patients
Vision Care Clinic PC Optometrist Past Accepting new patients
Vision Care Clinic, P.C. Optometrist Past Accepting new patients
Vision Care Clinic PC Optometrist Past Accepting new patients
Vision Care Clinic PC Optometrist Past Accepting new patients

Locations

200 S 29th St
Council Bluffs, IA 51501
Phone (712) 322-7912

201 N Main St
Denison, IA 51442
Phone (712) 263-2020

324 Main St
Manning, IA 51455
Phone (712) 655-2020

402 Main St
Mapleton, IA 51034
Phone (712) 882-2020

308 E Erie St
Mo Valley, IA 51555
Phone (712) 642-4146

721 10th St
Onawa, IA 51040
Phone (712) 423-2737

Organizations & group practices 6

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1124689740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514421373",
            "telephone_number": "712-263-2020",
            "fax_number": "712-263-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514421373",
            "telephone_number": "712-263-2020",
            "fax_number": "712-263-4053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Main St",
            "address_purpose": "LOCATION",
            "city": "Manning",
            "state": "IA",
            "postal_code": "514551041",
            "country_code": "US",
            "telephone_number": "712-655-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 Main St",
            "address_purpose": "LOCATION",
            "city": "Mapleton",
            "state": "IA",
            "postal_code": "510341213",
            "country_code": "US",
            "telephone_number": "712-882-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOAGLUND",
        "first_name": "JONATHAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "096688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, IA

Sources for this page

Verify at the official NPI Registry.