Kelly N Jansma, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

02300 Issued in IA

Practice address

1620 N Ankeny Blvd Ste 106
Ankeny, IA 50023-4111

Phone

(515) 963-7902

Fax

(844) 493-4932

NPI assigned

May 8, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly N Van Haaften Former name

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elite Eye Care PC

  • Optometrist
  • Waukee, IA
  • NPI 1700103850
  Medicare reassignment
• KNJ Optometry PLC

  dba The Eye Company TLC

  • Optometrist
  • Ankeny, IA
  • NPI 1568819647
  Authorized official Same address or phone
• Eye Care of Iowa P.C.

  • Optometrist
  • West Des Moines, IA
  • NPI 1073544201
  NPD (past)
• Eye Care of Iowa P.C.

  • Optometrist
  • Ankeny, IA
  • NPI 1962821256
  NPD (past)
• Eye Care of Iowa P.C.

  • Optometrist
  • Des Moines, IA
  • NPI 1972535722
  NPD (past)
• Eye Care of Iowa PC

  • Optometrist
  • Pleasant Hill, IA
  • NPI 1578512778
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1649229857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 N ANKENY BLVD",
            "address_2": "STE 106",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234111",
            "telephone_number": "515-963-7902",
            "fax_number": "844-493-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N ANKENY BLVD STE 106",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234111",
            "telephone_number": "515-963-7902",
            "fax_number": "844-493-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSMA",
        "first_name": "KELLY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "VAN HAAFTEN",
            "middle_name": "N",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Smith DDS PC (Ankeny Dental Center)
• Jagnandan-Lensch PLC
• Laks Jagnandan, DDS
• James W Collins DDS PC
• Danika Janic
• Huda Marwan Jarmakani, DO
• Kelli Jarrard, PT, DPT
• Zeeshan Ali Jawa, MD
• Sunshine McDaniel Jennings, ARNP
• Tracy Rae Jepson, RPH

• Optometrist in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.