Individual provider Active NPI

Morgan Elizabeth Wichman, OD

  • Optometrist
  • Ankeny, IA
National Provider Identifier
1003460734
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
095855 Issued in IA
Practice address
1805 SE Delaware Ave Ste 900
Ankeny, IA 50021-3935
Phone
(515) 333-5845
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 095855 IA Primary

Addresses

Primary practice location

1805 SE Delaware Ave Ste 900
Ankeny, IA 50021-3935

Mailing address

200 10TH St
Unit 508
Des Moines, IA 50309
Phone (815) 238-9272

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
I20220308002155 IA Practitioner - Optometry 6608260658 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soults Family Eyecare PLLCGroup PAC ID 0840695011, 2 clinicians

Practice addresses (Care Compare)

1250 NW 128TH St
150 Heartland Family Eyecare
Clive, IA 50325-7433
Phone (515) 223-9595

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
095855IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Optometrist CurrentSince Dec 7, 2021 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Snodgrass Family Eyecare, PLLC CurrentSince Nov 1, 2023 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Dec 7, 2021 Accepting new patients
Soults Family Eyecare P.L.L.C. Optometrist CurrentSince Nov 1, 2023 Accepting new patients
America'S Best Contacts & Eyeglasses PastSince Aug 6, 2019 Accepting new patients

Locations

1250 NW 128th St
Ste 150
Clive, IA 50325
Phone (515) 223-9595

3570 4th St SW
Ste 400
Mason City, IA 50401
Phone (641) 424-8271

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1003460734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 10TH ST",
            "address_2": "UNIT 508",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50309",
            "telephone_number": "815-238-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 SE DELAWARE AVE STE 900",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500213935",
            "telephone_number": "515-333-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICHMAN",
        "first_name": "MORGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "095855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.