Active NPI
Eyecare of Ankeny
- Optometrist
- Ankeny, IA
National Provider Identifier
1700593597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- EYECARE OF ANKENY
- Practice address
- 111 NW 9TH St
Ankeny, IA 50023-1754 - Phone
- (515) 964-7355
- Fax
- (515) 964-8413
- NPI assigned
- Nov 1, 2022
- Last updated
- Nov 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Janae L Jelsma
- Title
- Practice Manager
- Phone
- (515) 964-7355
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
111 NW 9TH St
Ankeny, IA 50023-1754
Mailing address
111 NW 9TH St
Ankeny, IA 50023-1754
Phone (515) 964-7355
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jordan.ukena@direct.revolutionehr.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | James.Schroder@direct.revolutionehr.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | James.Schroder@direct.revolutionehr.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2067462 | Eyecare Associates of Ankeny | Certificate of waiver | Oct 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
111 NW 9th St
Ankeny, IA 50023
Phone (515) 964-7355
Interoperability endpoints
- james.schroder@direct.revolutionehr.com
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Ankeny, IA
- NPI 1770529976
-
- Optometrist
- Johnston, IA
- NPI 1013584549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667260800000",
"number": "1700593597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 NW 9TH ST",
"city": "ANKENY",
"state": "IA",
"postal_code": "500231754",
"telephone_number": "515-964-7355",
"fax_number": "515-964-8413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 NW 9TH ST",
"city": "ANKENY",
"state": "IA",
"postal_code": "500231754",
"telephone_number": "515-964-7355",
"fax_number": "515-964-8413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYECARE OF ANKENY",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-01",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A",
"authorized_official_last_name": "JELSMA",
"authorized_official_first_name": "JANAE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "515-964-7355",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jordan.ukena@direct.revolutionehr.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "111 NW 9th St",
"city": "Ankeny",
"state": "IA",
"country_code": "US",
"postal_code": "500231754",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "James.Schroder@direct.revolutionehr.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "111 NW 9th St",
"city": "Ankeny",
"state": "IA",
"country_code": "US",
"postal_code": "500231754",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "James.Schroder@direct.revolutionehr.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "111 NW 9th St",
"city": "Ankeny",
"state": "IA",
"country_code": "US",
"postal_code": "500231754",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ankeny, IA
- Evergreen Therapy Services, LLC
- Evolutionz Inc (Fein Therapy Services)
- Excel Care Access, LLC
- Eye Care Associates of Co, LLC (Eye Care of Iowa - Ankeny)
- Eye Care of Iowa P.C.
- Eyemart Express LLC
- Eyemart Express, LTD. (Vision 4 Less)
- Family Matters Chiropractic, LLC (Family Matters Chiropractic)
- Family Wellness Chiropractic, PLLC
- John Terry Fandrich, LISW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.