Cody E Jones, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100178 Issued in ID

Practice address

34 SE Main St
Ste 101
Blackfoot, ID 83221-5094

Phone

(208) 785-7274

Fax

(208) 785-7337

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Pennsylvania College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluebird Family Eye Care PLLCGroup PAC ID 2668894007, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bluebird Family Eye Care PLLC

  • Optometrist
  • Blackfoot, ID
  • NPI 1629615158

  ID, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Blackfoot Vision Care Associates

  • Optometrist
  • Blackfoot, ID
  • NPI 1629464052
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1255426912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N MERIDIAN ST",
            "address_2": "STE A",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832214936",
            "telephone_number": "208-242-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SE MAIN ST",
            "address_2": "STE 101",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832215094",
            "telephone_number": "208-785-7274",
            "fax_number": "208-785-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CODY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13076 T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Austin Johnson, MPT
• Jenilee Johnson, PHARMD
• Michael Lafayette Johnson, D.C.
• Pete Richar Johnson
• Scott C. Johnson, PHARMD,
• Larry Christian Jones, LMSW
• Shannon Jones, COTA/L
• Anita Kadikar, MD
• James Taylor Kelley, PHARMD
• Michele Kelly, LCSW

• All providers in Blackfoot, ID
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.