Blake Brandon Franzeen, O.D.
Individual provider Active NPI Optometrist · Grimes, IA
NPI 1043280977 · NPPES record last updated Sep 9, 2011
Key facts
- NPI
- 1043280977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- IA02224 (IA)
- Practice address
- 2150 E 1St St
Grimes, IA 50111-7606 - Phone
- (515) 986-9351
- Fax
- (515) 986-9476
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2150 E 1St St
Grimes, IA 50111-7606
Phone (515) 986-9351
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101014000617 | IA | Practitioner - Optometry | 9335331990 | Practice locations: Grimes, IA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IA02224 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blake Franzeen O.D. | Optometrist | Past |
Accepting new patients |
| Terry D. Huseman OD PC | Optometrist | Past |
Accepting new patients |
| Invision Eye Care, PLLC | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | IA02224 | IA | Yes |
Addresses
Primary practice location
2150 E 1St St
Grimes, IA 50111-7606
Mailing address
2150 E 1St St
Grimes, IA 50111-7606
Phone (515) 986-9351
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IA19362 | Medicaid | IA |
Other providers in Grimes, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.