Individual provider Active NPI

Barry James Jose, OD

  • Optometrist
  • Council Bluffs, IA
National Provider Identifier
1881657617
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1644 Issued in IA
Practice address
1601 Ave D
Council Bluffs, IA 51501
Phone
(712) 323-5213
Fax
(712) 323-0722
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1644 IA Primary

Addresses

Primary practice location

1601 Ave D
Council Bluffs, IA 51501

Mailing address

1601 Ave D
Council Bluffs, IA 51501
Phone (712) 323-5213

Other identifiers 1

IdentifierTypeStateIssuer
1140202MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20120119000789 IA Practitioner - Optometry 8022048016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eyecare Center, Inc.Group PAC ID 8628968294, 3 clinicians

Practice addresses (Care Compare)

1601 Ave D
Council Bluffs, IA 51501-2510
Phone (712) 323-5213

Merit-based Incentive Payment System (MIPS)

Final score
97 of 100Reported as group
Quality
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
01644IAMDClinical Social Worker
1057NEMDClinical Social Worker
1644IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Center, Inc. Optometrist CurrentSince Nov 1, 1993 Accepting new patients

Locations

1601 Avenue D
Council Bluffs, IA 51501
Phone (712) 323-5213

11513 S 42nd St
Ste 100
Bellevue, NE 68123
Phone (402) 292-0396

Organizations & group practices 1

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1881657617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 AVE D",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51501",
            "telephone_number": "712-323-5213",
            "fax_number": "712-323-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 AVE D",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51501",
            "telephone_number": "712-323-5213",
            "fax_number": "712-323-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "BARRY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1140202",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.