Jared Reese Ivie, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100241 Issued in ID

Practice address

2405 Jafer CT
Idaho Falls, ID 83404-5587

Phone

(208) 529-2700

Fax

(208) 529-0873

NPI assigned

Jun 24, 2009

Last updated

Apr 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Southern College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivie Family Vision PAGroup PAC ID 2163747551, 2 clinicians

Idaho Family Vision PLLCGroup PAC ID 6103347463, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivie Family Vision PA

  • Optometrist
  • Idaho Falls, ID
  • NPI 1992114615
  Medicare reassignment Care Compare group Authorized official
• Idaho Family Vision PLLC

  dba Family Vision Associates

  • Optometrist
  • Idaho Falls, ID
  • NPI 1689485070
  Medicare reassignment Care Compare group NPD
• Complete Family Eye Care, PA

  • Optometrist
  • Blackfoot, ID
  • NPI 1477793222
  NPD
• Keen Eye Family Vision PA

  dba Family Vision Associates

  • Optometrist
  • Idaho Falls, ID
  • NPI 1720276371
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1285862599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 JAFER CT",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045587",
            "telephone_number": "208-529-2700",
            "fax_number": "208-529-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 JAFER CT",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045587",
            "telephone_number": "208-529-2700",
            "fax_number": "208-529-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVIE",
        "first_name": "JARED",
        "middle_name": "REESE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ashley Isom
• Shawn Robert Israelsen, LCSW
• Emily Joanne Iund
• Heath Richard Ivers, BCBA
• Ivie Family Vision PA
• Laura Ivie, PA-C
• Leili Izadi
• J&V Services, Inc. (Thrive Integrative Counseling)
• Alyssa May Jack, PA-C
• Dallin Jackman

• Optometrist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.