Paul T Creeden, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

01870 Issued in IA

Practice address

516 Division St
Suite 120
Cedar Falls, IA 50613-2382

Phone

(319) 266-0345

NPI assigned

Jan 16, 2007

Last updated

Dec 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Eyecare Associates PCGroup PAC ID 1355234154, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

59.29 of 100Reported as group

Quality

64.17

Promoting interoperability

30

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pcreeden@wolfe.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iowa Eyecare Associates PC

  dba Wolfe Clinic PC

  • Optometrist
  • Waterloo, IA
  • NPI 1619937133
  Medicare reassignment Care Compare group NPD
• Wolfe Clinic Inc

  • Ophthalmology Physician
  • Marshalltown, IA
  • NPI 1477532174
  NPD
• Iowa Eyecare Associates PC

  dba Wolfe Clinic PC

  • Optometrist
  • Cedar Falls, IA
  • NPI 1407988009
  NPD (past)

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": "1033260997",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEDEN",
        "first_name": "PAUL",
        "middle_name": "T",
        "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": "01870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "410027324",
            "state": "IA"
        },
        {
            "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": "CG4244",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Counseling Connection LLC
• Taryn Joyce Cox, OTR/L
• Michael G Crall, DDS, MS
• Jeffrey B Crandall, MD
• Rebecca Crandall, LISW
• Cassandra Crotty, PTA
• Kimberly Sue Crowe, MA, CCC- SLP
• Aaron L Culley, LISW
• Anita Curley, LMT
• Sarah Elizabeth Cyr, DDS

• Optometrist in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Optometrist in Iowa

• 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.
• 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.

Verify at the official NPI Registry.