Individual provider Active NPI

Jace Hunter Picken, O.D.

  • Optometrist
  • Jamestown, ND
National Provider Identifier
1194755249
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
694 Issued in ND
Practice address
300 2ND Ave NE Ste 102
Jamestown, ND 58401-3373
Phone
(701) 252-2020
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 694 ND Primary

Addresses

Primary practice location

300 2ND Ave NE Ste 102
Jamestown, ND 58401-3373

Mailing address

315 11TH St N Ste a
Wahpeton, ND 58075-4101
Phone (701) 642-4090

Other practice location 1

315 11 St. N., STE A
Prairie Vision Center
Wahpeton, ND 58075-4101
Phone (701) 642-4090

Other identifiers 1

IdentifierTypeStateIssuer
60704MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111213000207 ND Practitioner - Optometry 9830141613 Reassigns benefits to 1 organization
I20170127000338 MN Practitioner - Optometry 9830141613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Picken Welder Optometry PCGroup PAC ID 0840572822, 2 clinicians
Prairie Vision Center PCGroup PAC ID 0143273284, 2 clinicians

Practice addresses (Care Compare)

202 8TH St S
Moorhead, MN 56560-2811
Phone (218) 233-2650

315 11TH St N a
Wahpeton, ND 58075-4101
Phone (701) 642-4090

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
694NDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Vision 20/20 Optometrist CurrentSince Jul 29, 2026 Accepting new patients
Prairie Vision Center PC Optometrist CurrentSince Nov 1, 2011 Accepting new patients
Picken Welder Optometry, P.C. Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Shopko Stores Operating Co. LLC Past Accepting new patients
Brandt Opticare Inc Optometrist Past Accepting new patients

Locations

725 Center Ave
Ste 2
Moorhead, MN 56560
Phone (218) 233-2650

202 8th St S
Moorhead, MN 56560
Phone (218) 233-2650

300 2nd Ave NE
Ste 102
Jamestown, ND 58401
Phone (701) 252-2020

315 11th St N
Ste A
Wahpeton, ND 58075
Phone (701) 642-4090

Organizations & group practices 5

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1194755249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 11TH ST N STE A",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754101",
            "telephone_number": "701-642-4090",
            "fax_number": "701-642-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 2ND AVE NE STE 102",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584013373",
            "telephone_number": "701-252-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 11 St. N., STE A",
            "address_2": "Prairie Vision Center",
            "address_purpose": "LOCATION",
            "city": "Wahpeton",
            "state": "ND",
            "postal_code": "580754101",
            "country_code": "US",
            "telephone_number": "701-642-4090",
            "fax_number": "701-642-9424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKEN",
        "first_name": "JACE",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60704",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

Verify at the official NPI Registry.