Individual provider Active NPI

Matthew Krewer, OD

  • Optometrist
  • Waterloo, IA
National Provider Identifier
1003269721
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
097765 Issued in IA
Practice address
909 E San Marnan Dr
Waterloo, IA 50702-5611
Phone
(319) 233-2020
NPI assigned
Jul 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60679692 WA
Optometrist 152W00000X 097765 IA Primary

Addresses

Primary practice location

909 E San Marnan Dr
Waterloo, IA 50702-5611

Mailing address

909 E San Marnan Dr
Waterloo, IA 50702-5611
Phone (319) 233-2020

Other practice location 1

1409 W 1st St
Cedar Falls, IA 50613-2115
Phone (319) 268-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20221208000471 IA Practitioner - Optometry 4284920018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Valley Medical Specialists PCGroup PAC ID 1759291487, 61 clinicians

Practice addresses (Care Compare)

1409 W 1St St
Cedar Falls, IA 50613-2115
Phone (319) 268-2020

1753 W Ridgeway Ave
Waterloo, IA 50701-4588

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3941

909 E San Marnan Dr
Waterloo, IA 50702-5611
Phone (319) 233-2020

Hospital & facility affiliations

  • Allen Hospital Hospital, Waterloo, IA, CCN 160110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60679692WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Valley Medical Specialists PC CurrentSince Jan 16, 2023 Accepting new patients
Cedar Valley Medical Specialists PC Optometrist CurrentSince Jan 16, 2023 Accepting new patients
Solace Optometry Optometrist PastSince Nov 1, 2019 Accepting new patients
Cedar Valley Medical Specialists PC Past Accepting new patients

Locations

1409 W 1st St
Cedar Falls, IA 50613
Phone (319) 268-2020

909 E San Marnan Dr
Waterloo, IA 50702
Phone (319) 233-2020

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

4150 Kimball Ave
Waterloo, IA 50701
Phone (319) 235-5390

Interoperability endpoints

  • Direct secure messaging: matthew.krewer@cvms.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFCABD/Endpoint/IFCABD

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1003269721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E SAN MARNAN DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025611",
            "telephone_number": "319-233-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E SAN MARNAN DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025611",
            "telephone_number": "319-233-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Cedar Falls",
            "state": "IA",
            "postal_code": "506132115",
            "country_code": "US",
            "telephone_number": "319-268-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREWER",
        "first_name": "MATTHEW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60679692",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "097765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.