Jesse James Jangula, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

60099363 Issued in WA

Practice address

185 W 4TH Ave
Suite a
Post Falls, ID 83854-4978

Phone

(208) 773-7434

Fax

(208) 777-0836

NPI assigned

Sep 20, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Pacific University - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Post Falls Optometric Physicians PLLCGroup PAC ID 9234300344, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Post Falls Optometric Physicians PLLC

  • Optometrist
  • Post Falls, ID
  • NPI 1265688584
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1253404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1942534235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W 4TH AVE",
            "address_2": "SUITE A",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544978",
            "telephone_number": "208-773-7434",
            "fax_number": "208-777-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W 4TH AVE",
            "address_2": "SUITE A",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544978",
            "telephone_number": "208-773-7434",
            "fax_number": "208-777-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANGULA",
        "first_name": "JESSE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-20",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60099363",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100218",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942534235",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cher A Jacobsen, MD
• Robyn Suzanne Jamar, LMSW
• James E. Vancho, DC, PC
• Michael Wayne James, MD
• Jessica Berryman Jameson, MD
• Arlene Katherine Jarmolowicz, LMP,OT/L
• Jeannie Dalton LCSW
• Mary Louise Jensen, LPC
• Darren James Jerome
• Christopher Frederic Jessen, MD

• Optometrist in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.