Active NPI
Jayson Marcusen, DO
- Optometrist
- Chaska, MN
National Provider Identifier
1295213312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3586
- Practice address
- 106 Pioneer TRL
Chaska, MN 55318-1167 - Phone
- (952) 368-2325
- NPI assigned
- Jul 31, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3586 | MN | Primary |
Addresses
Primary practice location
106 Pioneer TRL
Chaska, MN 55318-1167
Mailing address
14301 Martin Dr
Apt 620
Eden Prairie, MN 55344-3029
Phone (701) 290-4994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
106 Pioneer TRL
Chaska, MN 55318-1167
Phone (952) 368-2325
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Vision Care, Inc. | Optometrist | Current | Accepting new patients |
Locations
15052 Gleason Path
Ste 103
Apple Valley, MN 55124
Phone (952) 432-5889
106 Pioneer Trl
Chaska, MN 55318
Phone (952) 368-2325
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1295213312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14301 MARTIN DR",
"address_2": "APT 620",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553443029",
"telephone_number": "701-290-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 PIONEER TRL",
"city": "CHASKA",
"state": "MN",
"postal_code": "553181167",
"telephone_number": "952-368-2325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUSEN",
"first_name": "JAYSON",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-31",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "3586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chaska, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.