OrganizationActive
Jay D Petersma OD PC
NPI 1114279866 · Optometrist · Johnston, IA
Jay D Petersma OD PC is a Optometrist organization in Johnston, IA (NPI 1114279866).
Provider details
- NPI number
- 1114279866
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jay Petersma, President(515) 270-0494
- License
- 01861 (IA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5501 Nw 86th St
Ste 500
Johnston, IA 50131-1816
Phone: (515) 270-0494
Street-level locationGet directions
Mailing address
5501 Nw 86th St
Johnston, IA 50131-1816
Registry dates
- Enumerated
- 2012-10-04
- Last updated
- 2012-10-04
Frequently asked questions
- What is Jay D Petersma OD PC's NPI number?
- Jay D Petersma OD PC's National Provider Identifier (NPI) is 1114279866, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jay D Petersma OD PC?
- Jay D Petersma OD PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Jay D Petersma OD PC located?
- Jay D Petersma OD PC's practice location on file with NPPES is 5501 Nw 86th St, Johnston, IA 50131-1816.
- What is Jay D Petersma OD PC's phone number?
- The practice phone number listed in the NPPES registry for Jay D Petersma OD PC is (515) 270-0494.
- Who is the authorized official for Jay D Petersma OD PC?
- The authorized official listed on Jay D Petersma OD PC's NPPES record is Jay Petersma, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jay D Petersma OD PC's NPI active?
- Yes — Jay D Petersma OD PC's NPI (1114279866) is active in the NPPES registry as of the last update on 2012-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.