Jay C Nelson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

547 Issued in ND

Practice address

446 3Rd Ave W
Dickinson, ND 58601-4940

Phone

(701) 225-2020

Fax

(701) 483-5879

NPI assigned

Jan 23, 2006

Last updated

Feb 24, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Vision Centers PCGroup PAC ID 8426018201, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Vision Centers PC

  • Optometrist
  • Dickinson, ND
  • NPI 1710966049
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1639149891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586020967",
            "telephone_number": "701-225-2020",
            "fax_number": "701-483-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014940",
            "telephone_number": "701-225-2020",
            "fax_number": "701-483-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JAY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS VISION",
            "identifier": "800547",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60500",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• N D Pharmacy Inc
• Cheryl M Nasset, SOCIAL WORKER, LSW
• ND Health Solutions PLC
• Kerry Nekuda, PHARMD
• Dawn Gutierrez Nelson
• Tessa Nelson, MS, CF-SLP
• Tori K Nelson, LAT, ATC
• Ness Hearing & Balance Center, PLLC
• David A Ness, AUD
• Moriah Nessmith, OTR

• Optometrist in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.