Organization Active NPI

Looysen I Care PC Corp

  • Optometrist
  • Jamestown, ND
National Provider Identifier
1639462351
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
413 Issued in ND
Legal business name
LOOYSEN I CARE PC CORP
Practice address
821 1St Ave S
Jamestown, ND 58401-4746
Phone
(701) 252-3937
NPI assigned
May 27, 2011
Last updated
Jan 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Steve W Looysen, O.D.NPI 1285725820
Title
Doctor of Optometry
Phone
(701) 252-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 413 ND Primary

Addresses

Primary practice location

821 1St Ave S
Jamestown, ND 58401-4746

Mailing address

821 1St Ave S
Jamestown, ND 58401-4746
Phone (701) 252-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110819000110 ND Part B Supplier - Clinic/Group Practice 2860662392 Receives reassigned benefits from 2 practitioners
Practice locations: Jamestown, ND; Valley City, ND
O20120328000406 ND DME Supplier - Physician - Optometrist 2860662392 Practice locations: Jamestown, ND

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Looysen I Care, PC821 1St Ave S, Jamestown, ND 58401-4746(701) 252-3937 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Aug 1, 2011

National Provider Directory

National Provider Directory

Locations

821 1st Ave S
Jamestown, ND 58401
Phone (701) 252-3937

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1639462351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 1ST AVE S",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014746",
            "telephone_number": "701-252-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 1ST AVE S",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584014746",
            "telephone_number": "701-252-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOYSEN I CARE PC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "LOOYSEN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "701-252-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ND",
            "license": "413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.