Organization Active NPI

Dr Jays Family Eye Care LLC

  • Optometrist
  • Harlan, IA
National Provider Identifier
1255449575
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
IA02008 Issued in IA
Legal business name
DR JAYS FAMILY EYE CARE LLC
Practice address
620 Market Street
Harlan, IA 51537-0712
Phone
(712) 755-2020
Fax
(712) 755-9400
NPI assigned
Aug 27, 2006
Last updated
Dec 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Jay Chris Christensen, O.D.NPI 1992705404
Title
Owner
Phone
(712) 755-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X IA02008 IA Primary

Addresses

Primary practice location

620 Market Street
Harlan, IA 51537-0712

Mailing address

620 Market Street
Harlan, IA 51537-0712
Phone (712) 755-2020

Other identifiers 1

IdentifierTypeStateIssuer
0292748MedicaidIA

National Provider Directory

National Provider Directory

Locations

736 Highway 37
Earling, IA 51530
Phone (712) 747-3301

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1255449575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MARKET STREET",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515370712",
            "telephone_number": "712-755-2020",
            "fax_number": "712-755-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MARKET STREET",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515370712",
            "telephone_number": "712-755-2020",
            "fax_number": "712-755-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAYS FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-755-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "IA02008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0292748",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.