Jedediah Beal Lister, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

678 Issued in NM

Practice address

15 S River Rd Ste 150
St George, UT 84790-2106

Phone

(435) 465-2230

NPI assigned

Oct 17, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sharon Richens MD Eye Physician and Surgeon PCGroup PAC ID 4385605799, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.88 of 100Reported as group

Quality

92.08

Improvement activities

40

Cost

83.49

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jed@richenseyecenter.direct.eyemdemr.com

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.

• Sharon Richens MD Eye Physician & Surgeon PC

  dba Richens Eye Center

  • Ophthalmology Physician
  • St George, UT
  • NPI 1891892063
  Medicare reassignment Care Compare group NPD
• Jason a Ahee MD PC

  dba Zion Eye Institute

  • Ophthalmology Physician
  • St George, UT
  • NPI 1649276957

  Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1831442656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 E MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025327",
            "telephone_number": "505-325-7070",
            "fax_number": "505-325-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S RIVER RD STE 150",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847902106",
            "telephone_number": "435-465-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "JEDEDIAH",
        "middle_name": "BEAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-17",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM STATE LICENSE",
            "identifier": "678",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ben W Lind, MD
• Kellen Linde
• Erika N Lindsey
• Shari Lindsey, LPC
• Lion Pride Pharmacy and Wellness
• Stephanie Lister
• Amanda Liston
• Little Valley Eye Care
• Susan G Little, RN
• Tyson Littlefield

• Optometrist in St George, UT
• Providers in St George, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.