Individual provider Active NPI

Steve W Looysen, O.D.

  • Optometrist
  • Jamestown, ND
National Provider Identifier
1285725820
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
413 Issued in ND
Practice address
821 1St Ave S
Jamestown, ND 58401-4746
Phone
(701) 252-3937
Fax
(701) 952-3937
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 413 ND Primary

Addresses

Primary practice location

821 1St Ave S
Jamestown, ND 58401-4746

Mailing address

210 10TH St SE
Jamestown, ND 58401-5553
Phone (701) 252-5000

Other identifiers 2

IdentifierTypeStateIssuer
60357MedicaidND
21942OtherNDBCBS OF ND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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

Enrollment IDStateProvider typePAC IDDetails
I20100721000414 ND Practitioner - Optometry 7618009028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Looysen I Care PC CorpGroup PAC ID 2860662392, 2 clinicians

Practice addresses (Care Compare)

821 1St Ave S
Jamestown, ND 58401-4746
Phone (701) 252-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
413NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Looysen I Care PC Corp Optometrist CurrentSince Aug 1, 2011 Accepting new patients
Professional Eyecare Centers, PLLC Optometrist PastSince Aug 1, 2011 Accepting new patients
Eye Physicians Group LLC Optometrist Past Accepting new patients

Locations

821 1st Ave S
Jamestown, ND 58401
Phone (701) 252-3937

1230 W Main St
Valley City, ND 58072
Phone (701) 845-2578

Organizations & group practices 3

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1285725820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 10TH ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015553",
            "telephone_number": "701-252-5000",
            "fax_number": "701-952-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 1ST AVE S",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014746",
            "telephone_number": "701-252-3937",
            "fax_number": "701-952-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOYSEN",
        "first_name": "STEVE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60357",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "21942",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

Verify at the official NPI Registry.