Active NPI
Matthew Krewer, OD
- Optometrist
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 097765
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD60679692 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Valley Medical Specialists PC | Current | Accepting new patients | |
| Cedar Valley Medical Specialists PC | Optometrist | Current | Accepting new patients |
| Solace Optometry | Optometrist | Past | 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
- matthew.krewer@cvms.eclinicaldirectplus.com
- 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.
-
- Orthopaedic Surgery Physician
- Waterloo, IA
- NPI 1497794242
Optometrist
-
- Durable Medical Equipment & Medical Supplies
- Vinton, IA
- NPI 1659934180
-
- Durable Medical Equipment & Medical Supplies
- Waverly, IA
- NPI 1073567780
-
- Optometrist
- Murrieta, CA
- NPI 1255702767
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.