Individual provider Active NPI

Julie Laura Jochum, O.D.

  • Optometrist
  • Council Bluffs, IA
National Provider Identifier
1952549727
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002470 Issued in IA
Practice address
1751 Madison Ave
#200
Council Bluffs, IA 51503-5246
Phone
(712) 322-2333
NPI assigned
Feb 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002470 IA Primary
Optometrist 152W00000X 1330 NE

Addresses

Primary practice location

1751 Madison Ave
#200
Council Bluffs, IA 51503-5246

Mailing address

1201 O St 100
Lincoln, NE 68508-1440
Phone (402) 476-7583

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
1330NEMDMental Health Counselor
002470IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
KMCL, LLC Past Accepting new patients

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": "1233446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1952549727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 O ST 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081440",
            "telephone_number": "402-476-7583",
            "fax_number": "402-476-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 MADISON AVE",
            "address_2": "#200",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035246",
            "telephone_number": "712-322-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOCHUM",
        "first_name": "JULIE",
        "middle_name": "LAURA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-01",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002470",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.