Individual provider Active NPI

Tasha J Jones, O.D.

  • Optometrist
  • Brookings, SD
National Provider Identifier
1922093517
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
603 Issued in SD
Practice address
1208 22ND Ave S
Brookings, SD 57006-2804
Phone
(605) 692-2020
Fax
(605) 692-9594
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 603 SD Primary

Addresses

Primary practice location

1208 22ND Ave S
Brookings, SD 57006-2804

Mailing address

1208 22ND Ave S
Brookings, SD 57006-2804
Phone (605) 692-2020

Other identifiers 5

IdentifierTypeStateIssuer
39563OtherSDSIOUX VALLEY HEALTH
4995289OtherSDBCBS OF SD
9203392MedicaidSD
603OtherSDDAKOTA CARE
P00815932OtherSDRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20040806000069 SD Practitioner - Optometry 8729050216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tasha J. Jones, O.D. P.CGroup PAC ID 9739224023, 3 clinicians

Practice addresses (Care Compare)

1208 22ND Ave S
Brookings, SD 57006-2804
Phone (605) 692-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
603SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tasha J. Jones, O.D. P.C Optometrist CurrentSince Jan 1, 2010 Accepting new patients
Jason Jahn OD PC Optometrist Past Accepting new patients

Locations

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

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

Organizations & group practices 2

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1922093517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "JONES",
        "first_name": "TASHA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH",
            "identifier": "39563",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF SD",
            "identifier": "4995289",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203392",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE",
            "identifier": "603",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00815932",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

Verify at the official NPI Registry.