Individual provider Active NPI

Jill Eggers, OD

  • Optometrist
  • Waukee, IA
National Provider Identifier
1659608263
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002477 Issued in IA
Practice address
2157 SE la Grant Pkwy
Waukee, IA 50263-7605
Phone
(515) 534-1300
NPI assigned
Nov 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2767 CO
Optometrist 152W00000X 002477 IA Primary

Addresses

Primary practice location

2157 SE la Grant Pkwy
Waukee, IA 50263-7605

Mailing address

9709 Hazelwood Ave
Johnston, IA 50131-3019
Phone (515) 231-5914

Other practice location 1

1551 Valley West Dr Ste 118B
West Des Moines, IA 50266-1107
Phone (515) 223-6496

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160729001275 IA Practitioner - Optometry 4880987742 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2157 SE la Grant Pkwy
Waukee, IA 50263-7605
Phone (515) 534-1300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2767COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
McAdams Eyewear, Inc. Optometrist CurrentSince May 6, 2020 Accepting new patients
Gulf Coast Optometry, PA CurrentSince May 10, 2023 Accepting new patients
Eyeq Eyecare and Eyewear PLLC Optometrist CurrentSince Jun 30, 2022 Accepting new patients
National Vision, Inc. PastSince May 10, 2023 Accepting new patients

Locations

1725 W Mlk Blvd
Tampa, FL 33607
Phone (239) 800-1717

6351 SE 14th St
Des Moines, IA 50320
Phone (515) 953-2020

2001 Westown Pkwy
Ste 205
West Des Moines, IA 50265
Phone (515) 225-3533

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1659608263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 HAZELWOOD AVE",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501313019",
            "telephone_number": "515-231-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 SE LA GRANT PKWY",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502637605",
            "telephone_number": "515-534-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Valley West Dr Ste 118B",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502661107",
            "country_code": "US",
            "telephone_number": "515-223-6496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGGERS",
        "first_name": "JILL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2767",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

Verify at the official NPI Registry.