Individual provider Active NPI

Joseph Jeskie, OD

  • Optometrist
  • Cedar Park, TX
National Provider Identifier
1932761566
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9662T Issued in TX
Practice address
1111 Red Bird Dr
Cedar Park, TX 78613-5463
Phone
(512) 580-4099
NPI assigned
Jul 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9662T TX Primary

Addresses

Primary practice location

1111 Red Bird Dr
Cedar Park, TX 78613-5463

Mailing address

1111 Red Bird Dr
Cedar Park, TX 78613-5463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240703000870 TX Practitioner - Optometry 1557711355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Signature Eye Care, P.a.Group PAC ID 0244365799, 7 clinicians

Practice addresses (Care Compare)

2071 Cypress Creek Rd
Cedar Park, TX 78613-3622
Phone (512) 250-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9662TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Eye Care, P.a. Optometrist CurrentSince Jun 5, 2024 Accepting new patients

Locations

2071 Cypress Creek Rd
Cedar Park, TX 78613
Phone (512) 250-1700

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1932761566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 RED BIRD DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 RED BIRD DR",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135463",
            "telephone_number": "512-580-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESKIE",
        "first_name": "JOSEPH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9662T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.