Individual provider Active NPI

Allen S Jones, O.D.

  • Optometrist
  • Sheldon, IA
National Provider Identifier
1942310362
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01564 Issued in IA
Practice address
323 9TH St
Sheldon, IA 51201-1556
Phone
(712) 324-5151
Fax
(712) 324-5036
NPI assigned
Aug 30, 2006
Last updated
Dec 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 01564 IA Primary

Addresses

Primary practice location

323 9TH St
Sheldon, IA 51201-1556

Mailing address

323 9TH St
P.O. Box 409
Sheldon, IA 51201-1556
Phone (712) 324-5151

Other identifiers 2

IdentifierTypeStateIssuer
0091751MedicaidIA
1091751MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01564IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheldon Vision Care, P.C. Optometrist PastSince Jun 15, 2020 Accepting new patients
Allen S Jones OD PC Optometrist PastSince Jun 15, 1993 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1942310362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 9TH ST",
            "address_2": "P.O. BOX 409",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011556",
            "telephone_number": "712-324-5151",
            "fax_number": "712-324-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 9TH ST",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011556",
            "telephone_number": "712-324-5151",
            "fax_number": "712-324-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ALLEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091751",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091751",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheldon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.