Active NPI
Richard D Jones, OD
- Optometrist
- Cody, WY
National Provider Identifier
1477544161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 140T
- Practice address
- 1708 Stampede Ave
Cody, WY 82414-4829 - Phone
- (307) 587-2404
- Fax
- (307) 527-7368
- NPI assigned
- Nov 2, 2005
- Last updated
- Sep 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 140T | WY | Primary |
Addresses
Primary practice location
1708 Stampede Ave
Cody, WY 82414-4829
Mailing address
PO Box 1300
Cody, WY 82414-1300
Phone (307) 587-2404
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305326 | Other | BCBS | |
| 759870709 | Other | RAILROAD MEDICARE | |
| 830306295 | Other | VSP | |
| 013959800 | Medicaid | WY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacob G. Despain OD PC | Optometrist | Past | Accepting new patients |
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, 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": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1477544161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1300",
"city": "CODY",
"state": "WY",
"postal_code": "824141300",
"telephone_number": "307-587-2404",
"fax_number": "307-527-7368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 STAMPEDE AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824144829",
"telephone_number": "307-587-2404",
"fax_number": "307-527-7368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "RICHARD",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WY",
"license": "140T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "305326",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "759870709",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSP",
"identifier": "830306295",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013959800",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.