Active NPI
David C Neill, OD
- Optometrist
- Cedar Falls, IA
National Provider Identifier
1023169786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 01902
- Practice address
- 516 Division St
Suite 120
Cedar Falls, IA 50613-2382 - Phone
- (319) 266-0345
- Fax
- (319) 268-1327
- NPI assigned
- Jan 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 01902 | IA | Primary |
Addresses
Primary practice location
516 Division St
Suite 120
Cedar Falls, IA 50613-2382
Mailing address
999 Home PLZ
Suite 100
Waterloo, IA 50701-4822
Phone (319) 236-0815
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0117267 | Medicaid | IA | |
| 18418 | Other | IA | BLUE CROSS BLUE SHIELD |
| 410028812 | Other | IA | MEDICARE ID |
| CG4244 | Other | IA | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Eyecare Associates PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Cedar Falls, IA
- NPI 1407988009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261440000000",
"number": "1023169786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 HOME PLZ",
"address_2": "SUITE 100",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507014822",
"telephone_number": "319-236-0815",
"fax_number": "319-234-0847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 DIVISION ST",
"address_2": "SUITE 120",
"city": "CEDAR FALLS",
"state": "IA",
"postal_code": "506132382",
"telephone_number": "319-266-0345",
"fax_number": "319-268-1327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEILL",
"first_name": "DAVID",
"middle_name": "C",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2009-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "01902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0117267",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "18418",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "410028812",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "CG4244",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.