Individual provider Active NPI

Jason Jahn, O.D.

  • Optometrist
  • Brookings, SD
National Provider Identifier
1609861608
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
142 Issued in SD
Practice address
1208 22ND Ave S
Brookings, SD 57006-2804
Phone
(605) 692-2020
Fax
(605) 692-9594
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 142 SD Primary

Addresses

Primary practice location

1208 22ND Ave S
Brookings, SD 57006-2804

Mailing address

1208 22ND Ave S
Brookings, SD 57006-0284
Phone (605) 692-2020

Other identifiers 6

IdentifierTypeStateIssuer
22104OtherSDSIOUX VALLEY HEALTH
0073102OtherSDBCBS OF SD
4C035JAOtherMNBCBS OF MN
P00815934OtherSDRAILROAD MEDICARE
9280170MedicaidSD
419OtherSDDAKOTA CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20091208000799 SD Practitioner - Optometry 2365414869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tasha J. Jones, O.D. P.CGroup PAC ID 9739224023, 3 clinicians

Practice addresses (Care Compare)

1208 22ND Ave S
Brookings, SD 57006-2804
Phone (605) 692-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
142SDMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Tasha J. Jones, O.D. P.C Optometrist CurrentSince Jan 7, 2010 Accepting new patients

Locations

1208 22nd Ave S
Brookings, SD 57006
Phone (605) 692-2020

1100 6th St
Brookings, SD 57006
Phone (605) 692-2020

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1609861608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 22ND AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570060284",
            "telephone_number": "605-692-2020",
            "fax_number": "605-692-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 22ND AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062804",
            "telephone_number": "605-692-2020",
            "fax_number": "605-692-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHN",
        "first_name": "JASON",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH",
            "identifier": "22104",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF SD",
            "identifier": "0073102",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "4C035JA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00815934",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9280170",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "419",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

Verify at the official NPI Registry.