Organization Active NPI

Tasha J. Jones, O.D. P.C

  • Optometrist
  • Brookings, SD
National Provider Identifier
1861721730
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
603 Issued in SD
Legal business name
TASHA J. JONES, O.D. P.C
Practice address
1208 22ND Ave S
Brookings, SD 57006-2804
Phone
(605) 692-2020
Fax
(605) 692-9594
NPI assigned
Dec 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Dr. Tasha J Jones, O.D.NPI 1922093517
Title
Owner
Phone
(605) 692-2020

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 MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 603 SD Primary

Addresses

Primary practice location

1208 22ND Ave S
Brookings, SD 57006-2804

Mailing address

1100 6TH St
Brookings, SD 57006-2206
Phone (605) 692-2020

Other identifiers 2

IdentifierTypeStateIssuer
603OtherSDDAKOTACARE
4995289OtherSDBCBS OF SD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100311000514 SD Part B Supplier - Clinic/Group Practice 9739224023 Receives reassigned benefits from 3 practitioners
Practice locations: Brookings, SD
O20100930054997 SD DME Supplier - Physician - Optometrist 9739224023 Practice locations: Brookings, SD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
20/20 Family Vision1208 22ND Ave S, Brookings, SD 57006(605) 692-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 2010

National Provider Directory

National Provider Directory

Locations

1208 22nd Ave S
Brookings, SD 57006
Phone (605) 692-2020

Practitioners & affiliated clinicians

Practitioners 4

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": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1861721730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 6TH ST",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062206",
            "telephone_number": "605-692-2020",
            "fax_number": "605-692-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 22ND AVE S",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062804",
            "telephone_number": "605-692-2020",
            "fax_number": "605-692-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASHA J. JONES, O.D. P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-23",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-692-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "SD",
            "license": "603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE",
            "identifier": "603",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF SD",
            "identifier": "4995289",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.

Verify at the official NPI Registry.