Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jay D Petersma OD PC

Organization Optometrist · NPI 1114279866

Jay D Petersma OD PC is an Optometrist in Johnston, Iowa. Licensed in Iowa. Registered with an NPI since 2012.

Licensed in
IA
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5501 NW 86th St Ste 500
Johnston, IA 50131-1816
Phone: (515) 270-0494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 01861 (IA)

Record details

NPI number1114279866
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jay Petersma — President · (515) 270-0494
NPI enumeratedOctober 4, 2012
Last updated in NPPESOctober 4, 2012
Mailing address5501 Nw 86th St, Ste 500, Johnston, IA 50131-1816

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