Active NPI
Dr Jays Family Eye Care LLC
- Optometrist
- Harlan, IA
National Provider Identifier
1255449575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- IA02008
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Chris Christensen, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0292748 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Harlan, IA
- NPI 1992705404
-
- Optometrist
- Harlan, IA
- NPI 1669213666
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.