Individual provider Active NPI

Jeffrey Michael Newland, OD

  • Optometrist
  • Des Moines, IA
National Provider Identifier
1326619982
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
109201 Issued in IA
Practice address
1212 Pleasant Street
Suite 202
Des Moines, IA 50309-1411
Phone
(515) 244-3937
Fax
(515) 243-1442
NPI assigned
Jul 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 109201 IA Primary

Addresses

Primary practice location

1212 Pleasant Street
Suite 202
Des Moines, IA 50309-1411

Mailing address

1212 Pleasant Street
Suite 202
Des Moines, IA 50309-1411
Phone (515) 244-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20210927000691 IA Practitioner - Optometry 5496152977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1212 Pleasant St
Suite 202
Des Moines, IA 50309-1411
Phone (515) 244-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
109201IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Ophthalmologists, PC CurrentSince Oct 1, 2021 Accepting new patients
Associated Ophthalmologists, PC Optometrist CurrentSince Oct 1, 2021 Accepting new patients

Locations

1212 Pleasant St
Ste 202
Des Moines, IA 50309
Phone (515) 243-1580

1212 Pleasant St
Ste 101
Des Moines, IA 50309
Phone (515) 244-3937

Organizations & group practices 2

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": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1326619982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 PLEASANT STREET",
            "address_2": "SUITE 202",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091411",
            "telephone_number": "515-244-3937",
            "fax_number": "515-243-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 PLEASANT STREET",
            "address_2": "SUITE 202",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091411",
            "telephone_number": "515-244-3937",
            "fax_number": "515-243-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWLAND",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "109201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.