Jason Maasdam, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

02116 Issued in IA

Practice address

100 S 5TH St
Knoxville, IA 50138-1712

Phone

(641) 842-3616

Fax

(641) 842-5453

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Health Solutions PCGroup PAC ID 5890764666, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Health Solutions PC

  • Optometrist
  • Knoxville, IA
  • NPI 1487637443
  Medicare reassignment Care Compare group NPD Authorized official
• Oskaloosa Vision Center Inc

  • Optometrist
  • Oskaloosa, IA
  • NPI 1518269307
  NPD (past)

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922081678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S 5TH ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501381712",
            "telephone_number": "641-842-3616",
            "fax_number": "641-842-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 5TH ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501381712",
            "telephone_number": "641-842-3616",
            "fax_number": "641-842-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAASDAM",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "48259",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2176891",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian D Lange, D. C.
• Allison Sue Lanphier, PA
• Ryan Edward Laughlin, D.O.
• Todd Emery Lundy, D.D.S.
• Donita Lunsford, DIETICIAN
• Kevin Wayne Mace, DO
• Madison County Medical Equipment, Inc.
• Alfredo Maldonado, M.D.
• Marion County Care Facility
• Marion County Care Facility of Community Care, Inc

• Optometrist in Knoxville, IA
• Providers in Knoxville, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.