Daniel Wallace Alletto, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

081392 Issued in IA

Practice address

125 N 13TH St
Centerville, IA 52544-1705

Phone

(641) 437-4099

Fax

(641) 437-0512

NPI assigned

Jun 2, 2016

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 1

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

Pacific University - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

International Eyecare Center LLCGroup PAC ID 0244125235, 20 clinicians

Aeg Iowa Professional PCGroup PAC ID 6800325796, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aeg Iowa Professional PC

  • Optometrist
  • Winterset, IA
  • NPI 1700651494
  Medicare reassignment Care Compare group NPD
• International Eyecare Center LLC

  • Optometrist
  • Quincy, IL
  • NPI 1760405047

  IA

  Medicare reassignment Care Compare group NPD
• International Eyecare Center Inc

  • Optometrist
  • Omaha, NE
  • NPI 1386825610
  NPD
• Aeg Iowa Professional PC

  • Optometrist
  • Centerville, IA
  • NPI 1396510038
  NPD (past)

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043668700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013257",
            "telephone_number": "217-214-0299",
            "fax_number": "217-641-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N 13TH ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441705",
            "telephone_number": "641-437-4099",
            "fax_number": "641-437-0512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 10th St",
            "address_purpose": "LOCATION",
            "city": "Fort Madison",
            "state": "IA",
            "postal_code": "526272831",
            "country_code": "US",
            "telephone_number": "319-372-5181",
            "fax_number": "319-372-0865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLETTO",
        "first_name": "DANIEL",
        "middle_name": "WALLACE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "081392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043668700",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advancements in Counseling, Education, and Law
• Aeg Iowa Professional PC
• Brooklynn Ann Amling, FNP
• Deborah Lea Anderson, ACADC, LMSW, SAP, RN
• Appanoose Community Care Services
• Ryan D Arnevik, DO
• Nancy Barton, MD

• Optometrist in Centerville, IA
• Providers in Centerville, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.