Jordan Jangula

Primary specialty

OptometristTaxonomy code 152W00000X

License

719 Issued in ND

Practice address

210 10TH St SE
Jamestown, ND 58401-5553

Phone

(701) 252-5000

Fax

(701) 952-5005

NPI assigned

Oct 19, 2011

Last updated

Jun 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Pacific University - College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Eyecare Centers, PLLCGroup PAC ID 9739148461, 4 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.

• Professional Eyecare Centers, PLLC

  • Optometrist
  • Jamestown, ND
  • NPI 1699866244
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1679858724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 10TH ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015553",
            "telephone_number": "701-252-5000",
            "fax_number": "701-282-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 10TH ST SE",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015553",
            "telephone_number": "701-252-5000",
            "fax_number": "701-952-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6712 Highway 200",
            "address_purpose": "LOCATION",
            "city": "Carrington",
            "state": "ND",
            "postal_code": "584211442",
            "country_code": "US",
            "telephone_number": "701-652-2222",
            "fax_number": "701-652-3655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Central Ave N Ste F",
            "address_purpose": "LOCATION",
            "city": "Valley City",
            "state": "ND",
            "postal_code": "580722907",
            "country_code": "US",
            "telephone_number": "701-845-5000",
            "fax_number": "701-845-2583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANGULA",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pec@proeyecarecenters.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "210 10th St SE",
            "city": "Jamestown",
            "state": "ND",
            "country_code": "US",
            "postal_code": "584015553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shelby Lyn Jager, DPT
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• James River Special Education Unit
• Jamestown Counseling Center (Jennifer Lipetzky)
• Wendell A Janke, MHCAT
• Shawn Michael Jenner
• Dane Nels Jessen
• Annabel Leigh Hall Jiran, MD
• JMF, Inc. (The Medicine Shoppe)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.