Individual provider Active NPI

Jesse Dean Owens, O.D.

  • Optometrist
  • Richmond, IN
National Provider Identifier
1942382403
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002756A Issued in IN
Practice address
1120 S 9TH St
Richmond, IN 47374-6240
Phone
(765) 939-2000
Fax
(765) 939-0271
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002756A IN Primary

Addresses

Primary practice location

1120 S 9TH St
Richmond, IN 47374-6240

Mailing address

1120 S 9TH St
Richmond, IN 47374-6240
Phone (765) 939-2000

Other identifiers 1

IdentifierTypeStateIssuer
200075410MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070420000431 IN Practitioner - Optometry 6406951359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owens Optometry, IncGroup PAC ID 8628198678, 2 clinicians

Practice addresses (Care Compare)

1120 S 9TH St
Richmond, IN 47374-6240
Phone (765) 939-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002756AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Owens Optometry, Inc Optometrist CurrentSince Oct 7, 1996 Accepting new patients
Dr. Reising and Burkhart Optometrist PastSince Mar 1, 2008 Accepting new patients
Whitson Vision, PC Optometrist Past Accepting new patients

Locations

1120 S 9th St
Richmond, IN 47374
Phone (765) 458-6300

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1942382403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S 9TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473746240",
            "telephone_number": "765-939-2000",
            "fax_number": "765-939-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S 9TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473746240",
            "telephone_number": "765-939-2000",
            "fax_number": "765-939-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JESSE",
        "middle_name": "DEAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002756A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200075410",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.