Active NPI
Jace Hunter Picken, O.D.
- Optometrist
- Jamestown, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 694
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60704 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 694 | ND | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Vision 20/20 | Optometrist | Current | Accepting new patients |
| Prairie Vision Center PC | Optometrist | Current | Accepting new patients |
| Picken Welder Optometry, P.C. | Optometrist | Current | 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.
-
- Optometrist
- Moorhead, MN
- NPI 1639611791
-
- Optometrist
- Wahpeton, ND
- NPI 1952383713
-
- Optometrist
- Jamestown, ND
- NPI 1912052234
-
- Optometrist
- Moorhead, MN
- NPI 1952371130
-
- Eyewear Supplier
- Albert Lea, MN
- NPI 1528010642
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.