Individual provider Active NPI

Jordan R Thomas, OD

  • Optometrist
  • Jamestown, ND
National Provider Identifier
1194607432
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
836 Issued in ND
Practice address
210 10TH St SE
Jamestown, ND 58401-5553
Phone
(701) 252-5000
Fax
(701) 952-5005
NPI assigned
Jul 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 836 ND Primary

Addresses

Primary practice location

210 10TH St SE
Jamestown, ND 58401-5553

Mailing address

210 10TH St SE
Jamestown, ND 58401-5553
Phone (701) 252-5000

Other practice location 1

200 Central Ave N Ste F
Valley City, ND 58072-2907
Phone (701) 845-5000

Other practice location 2

6712 Highway 200
Carrington, ND 58421-1442
Phone (701) 652-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20251105002900 ND Practitioner - Optometry 7911406723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Eyecare Centers, PLLCGroup PAC ID 9739148461, 4 clinicians

Practice addresses (Care Compare)

210 10TH St SE
Jamestown, ND 58401-5553
Phone (701) 252-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Eyecare Centers, PLLC Optometrist CurrentSince Aug 20, 2025 Accepting new patients

Locations

6712 Highway 200
Carrington, ND 58421
Phone (701) 253-4010

210 10th St SE
Jamestown, ND 58401
Phone (701) 252-5000

200 Central Ave N
Ste F
Valley City, ND 58072
Phone (701) 845-5000

Organizations & group practices 1

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": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1194607432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 10TH ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015553",
            "telephone_number": "701-252-5000",
            "fax_number": "701-952-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 10TH ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015553",
            "telephone_number": "701-252-5000",
            "fax_number": "701-952-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Central Ave N Ste F",
            "address_purpose": "LOCATION",
            "city": "Valley City",
            "state": "ND",
            "postal_code": "580722907",
            "country_code": "US",
            "telephone_number": "701-845-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6712 Highway 200",
            "address_purpose": "LOCATION",
            "city": "Carrington",
            "state": "ND",
            "postal_code": "584211442",
            "country_code": "US",
            "telephone_number": "701-652-2222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JORDAN",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

Verify at the official NPI Registry.