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

Jonathan Kingsley, OD

Individual provider Optometrist · NPI 1033891585

Jonathan Kingsley, OD is an Optometry in Council Bluffs, Iowa. Graduated from University of Missouri St Louis - School of Optometry in 2023, 3 years ago. Practices with Drs Becherer Becherer and Associates Ltd, a 3-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Iowa, Illinois and Nebraska.

Years since qualifying
3
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
IA, IL, NE
In the registry since
2023
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2514 W Broadway
Council Bluffs, IA 51501-3509
Phone: (712) 322-3097
Fax: (712) 322-4130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3606 N 156th St Ste 105, Omaha, NE 68116-2163 — (402) 205-0754
  • 120 Olson Dr Ste 107, Papillion, NE 68046-2961 — (402) 504-4257

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 133101 (IA)
Optometrist Taxonomy 152W00000X · Licence 1669 (NE)
Optometrist Taxonomy 152W00000X · Licence 046011741 (IL)

Record details

NPI number1033891585
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 3, 2023
Last updated in NPPESSeptember 12, 2025
Certification dateSeptember 12, 2025
Mailing address2514 W Broadway, Council Bluffs, IA 51501-3509

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2023 (3 years in practice)
Group practice Drs Becherer Becherer And Associates Ltd — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Council Bluffs