Organization Active NPI

Jason S. Pfeifer, O.D., P.C.

  • Optometrist
  • Cedar Rapids, IA
National Provider Identifier
1831426147
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02306 Issued in IA
Legal business name
JASON S. PFEIFER, O.D., P.C.
Practice address
3400 Edgewood Rd SW
Cedar Rapids, IA 52404-7214
Phone
(319) 396-5005
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Dr. Jason S. Pfeifer, O.D.NPI 1497765457
Title
President
Phone
(319) 621-3346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 02306 IA Primary

Addresses

Primary practice location

3400 Edgewood Rd SW
Cedar Rapids, IA 52404-7214

Mailing address

855 Forest Edge LN
Coralville, IA 52241-3480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091119000451 IA Part B Supplier - Clinic/Group Practice 5395883987 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Rapids, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1831426147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 FOREST EDGE LN",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522413480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 EDGEWOOD RD SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524047214",
            "telephone_number": "319-396-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON S. PFEIFER, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "PFEIFER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-621-3346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.