Individual provider Active NPI

Nathan Jones, OD

  • Optometrist
  • Idaho Falls, ID
National Provider Identifier
1770109282
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-100565 Issued in ID
Practice address
2300 E 17TH St SPC 157
Idaho Falls, ID 83404-6501
Phone
(208) 552-3355
Fax
(208) 552-6120
NPI assigned
Jun 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 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 OPT-002440 AZ
Optometrist 152W00000X ODP-100565 ID Primary

Addresses

Primary practice location

2300 E 17TH St SPC 157
Idaho Falls, ID 83404-6501

Mailing address

PO Box 3187
Idaho Falls, ID 83403-3187
Phone (208) 351-9190

Other practice location 1

6135 N 35th Ave Ste 139
Phoenix, AZ 85017-1953
Phone (602) 973-5868

Other practice location 2

5127 W Indian School Rd Ste 161
Phoenix, AZ 85031-2611
Phone (623) 245-7014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20220606000038 ID Practitioner - Optometry 7618390592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2300 E 17TH St
SPC 157
Idaho Falls, ID 83404-6501
Phone (208) 552-3355

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Eye Care, PLLC Optometrist CurrentSince May 3, 2022 Accepting new patients
Alan Adamson, OD, PC Optometrist PastSince May 8, 2022 Accepting new patients

Locations

2300 E 17th St
Spc 157
Idaho Falls, ID 83404
Phone (208) 552-3355

Organizations & group practices 2

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": "1592611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1770109282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3187",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834033187",
            "telephone_number": "208-351-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 17TH ST SPC 157",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046501",
            "telephone_number": "208-552-3355",
            "fax_number": "208-552-6120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6135 N 35th Ave Ste 139",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850171953",
            "country_code": "US",
            "telephone_number": "602-973-5868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5127 W Indian School Rd Ste 161",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850312611",
            "country_code": "US",
            "telephone_number": "623-245-7014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-20",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002440",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.