Individual provider Active NPI

Jake Jochimsen, OD

  • Optometrist
  • Eau Claire, WI
National Provider Identifier
1639886567
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3821-35 Issued in WI
Practice address
943 W Clairemont Ave
Eau Claire, WI 54701-6103
Phone
(715) 832-7723
NPI assigned
Oct 31, 2022
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3821-35 WI Primary

Addresses

Primary practice location

943 W Clairemont Ave
Eau Claire, WI 54701-6103

Mailing address

342 McKinley Ave
Eau Claire, WI 54701-4051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20221116000957 WI Practitioner - Optometry 9436527850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

2806 Woodman Dr
Altoona, WI 54720-2653
Phone (534) 444-2961

6000 Monona Dr
Suite 101
Monona, WI 53716-3329
Phone (608) 222-9420

943 W Clairemont Ave
Eau Claire, WI 54701-6103
Phone (715) 832-7723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist Past Accepting new patients

Locations

2806 Woodman Dr
Altoona, WI 54720
Phone (534) 444-2961

3022 Commercial Blvd
Chippewa Falls, WI 54729
Phone (715) 726-1671

943 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 832-7723

1640 Appleton Rd
Menasha, WI 54952
Phone (920) 725-3752

101 Oak Ave
Ste 2
Menomonie, WI 54751
Phone (715) 953-3731

6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420

2304 S Main St
Ste 9
Rice Lake, WI 54868
Phone (715) 236-7906

Organizations & group practices 4

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1639886567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 MCKINLEY AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016103",
            "telephone_number": "715-832-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOCHIMSEN",
        "first_name": "JAKE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3821-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.