Timberline Vision

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TIMBERLINE VISION

Practice address

14111 Douglas Parkway
Urbandale, IA 50323

Phone

(515) 339-1836

NPI assigned

Sep 13, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jenessa Lock, ODNPI 1093895781

Title

Owner Optometrist

Phone

(515) 339-1836

Specialties & licenses 1

Addresses

Tax ID family

Lumen Eyecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lumen Eyecare LLC

  • Optometrist
  • Urbandale, IA
  • NPI 1881429991
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenessa Ann Lock, OD

  • Optometrist
  • West Des Moines, IA
  • NPI 1093895781
  NPD Authorized official

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1356177455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NW 67TH PL",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503131023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14111 DOUGLAS PARKWAY",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "50323",
            "telephone_number": "515-339-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "LOCK",
        "authorized_official_first_name": "JENESSA",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "515-339-1836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Chiropractic Center, LLC
• Thrive Family Chiropractic PLLC
• Jonathon Tichy
• Julia Tiedeman, LMSW
• Carmen Lynn Tillman, MA, LMHC, NCC
• Thomas R Tippins, DDS
• TMS of Iowa, LLC
• Rebecca L Tomlinson
• Dallas Ryan Topping-Koppes, DC
• Beth Triebel, OD

• Optometrist in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.