Individual provider Active NPI

Bethany A Heath, O.D.

  • Optometrist
  • Fort Dodge, IA
National Provider Identifier
1043357692
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02354 Issued in IA
Practice address
1511 1St Ave S
Fort Dodge, IA 50501-5012
Phone
(515) 955-7777
Fax
(515) 955-7082
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02354 IA Primary

Addresses

Primary practice location

1511 1St Ave S
Fort Dodge, IA 50501-5012

Mailing address

1511 1St Ave S
Fort Dodge, IA 50501-5012
Phone (515) 955-7777

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
I20071113000515 IA Practitioner - Optometry 0446348437 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heath Family Eyecare Inc Optometrist CurrentSince Nov 1, 2007 Accepting new patients
Jeffrey S Foreman OD Optometrist PastSince Nov 1, 2007 Accepting new patients

Locations

1511 1st Ave S
Fort Dodge, IA 50501
Phone (515) 955-7777

3036 1st Ave S
Fort Dodge, IA 50501
Phone (515) 576-1982

Organizations & group practices 2

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1043357692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 1ST AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015012",
            "telephone_number": "515-955-7777",
            "fax_number": "515-955-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 1ST AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015012",
            "telephone_number": "515-955-7777",
            "fax_number": "515-955-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "BETHANY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.