James L Jeske, O.D.
Individual provider Active NPI Optometrist · New Town, ND
NPI 1497856504 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1497856504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 669 (ND)
- Practice address
- 1251 Elbowoods Loop
New Town, ND 58763-9112 - Phone
- (701) 627-4570
- Fax
- (701) 627-7776
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Elbowoods Memorial Health Center
Practice addresses (Care Compare)
1058 College Dr
New Town, ND 58763-9112
Phone (701) 627-4750
1251 Elbowoods Loop
New Town, ND 58763-9112
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081003000066 | ND | Practitioner - Optometry | 7810065976 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 669 | ND | MD | Registered Dietitian |
| 3191T | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elbowoods Memorial Health Center | Current |
Accepting new patients | |
| Johnson Eyecare PC | Optometrist | Past |
Accepting new patients |
Locations
1058 College Dr
New Town, ND 58763
Phone (701) 627-4750
1251 Elbowoods Loop
New Town, ND 58763
Phone (701) 627-4750
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3191T | OR | |
| Optometrist | 152W00000X | 669 | ND | Yes |
Addresses
Primary practice location
1251 Elbowoods Loop
New Town, ND 58763-9112
Mailing address
1251 Elbowoods Loop
New Town, ND 58763-9112
Phone (701) 627-4570
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60661 | Medicaid | ND |
Other providers in New Town, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.