Jones OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JONES OD PLLC

Practice address

1409 N 2ND St
Red Oak, IA 51566-1043

Phone

(712) 623-5551

NPI assigned

Nov 25, 2022

Organization subpart

No

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

Authorized official

Name

Travis Jones, ODNPI 1720464878

Title

Officer

Phone

(402) 982-3153

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis Jones, OD

  • Optometrist
  • Council Bluffs, IA
  • NPI 1720464878

  IA, Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1760192264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 N 2ND ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 N 2ND ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515661043",
            "telephone_number": "712-623-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Manawa Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515017672",
            "country_code": "US",
            "telephone_number": "712-366-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JONES OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "402-982-3153",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Johnson, FNP-C
• Christopher Cullen Johnson, MD OBGYN
• Kelsey Brooke Johnson, ARNP
• Lizabeth Jean Johnson, APRN
• Sharon R Johnson, ARNP
• Jessica Jones, O.D.
• Steven Christopher Jurjevich, MPT
• Thomas Patrick Kelly, CRNA
• Eva-Anne Marie Kentner, ARNP
• Angela Marie Kerchner, M.D.

• All providers in Red Oak, IA
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.