Individual provider Active NPI

David Jones, O.D.

  • Optometrist
  • Brandon, SD
National Provider Identifier
1285998070
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
679 Issued in SD
Practice address
310 S Splitrock Blvd
Brandon, SD 57005-1652
Phone
(317) 332-8359
NPI assigned
Jun 27, 2012
Last updated
Jun 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 679 SD Primary

Addresses

Primary practice location

310 S Splitrock Blvd
Brandon, SD 57005-1652

Mailing address

405 N. 9TH Ave.
Brandon, SD 57005
Phone (317) 332-8359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20130102000384 SD Practitioner - Optometry 4789834524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jones Family Eyecare LLCGroup PAC ID 2961652706, 3 clinicians

Practice addresses (Care Compare)

1120 E Holly Blvd
Brandon, SD 57005-1363
Phone (605) 582-4400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Family Eyecare LLC Optometrist CurrentSince May 17, 2012 Accepting new patients

Locations

1120 E Holly Blvd
Brandon, SD 57005
Phone (605) 582-4400

310 S Splitrock Blvd
Brandon, SD 57005
Phone (317) 332-8359

304 W SD Highway 38
Ste 114
Hartford, SD 57033
Phone (605) 528-7000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1285998070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N. 9TH AVE.",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "57005",
            "telephone_number": "317-332-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S SPLITROCK BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051652",
            "telephone_number": "317-332-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, SD

Sources for this page

Verify at the official NPI Registry.