Individual provider Active NPI

Troy W Albrecht, OD

  • Optometrist
  • Marion, IA
National Provider Identifier
1053392522
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02121 Issued in IA
Practice address
1415 Blairs Ferry Rd
Marion, IA 52302-3159
Phone
(319) 377-5343
Fax
(319) 447-6119
NPI assigned
Nov 10, 2005
Last updated
Sep 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02121 IA Primary

Addresses

Primary practice location

1415 Blairs Ferry Rd
Marion, IA 52302-3159

Mailing address

1415 Blairs Ferry Rd
Marion, IA 52302-3159
Phone (319) 377-5343

Other identifiers 1

IdentifierTypeStateIssuer
1202762MedicaidIA

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
I20050421001585 IA Practitioner - Optometry 0749264893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Insight Vision Inc.Group PAC ID 8123002276, 4 clinicians

Practice addresses (Care Compare)

1415 Blairs Ferry Rd
Marion, IA 52302-3159
Phone (319) 377-5343

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Vision Inc. Optometrist CurrentSince Jan 1, 2001 Accepting new patients
Insight Vision Optometrist Current Accepting new patients

Locations

1415 Blairs Ferry Rd
Marion, IA 52302
Phone (319) 377-5343

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1053392522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BLAIRS FERRY RD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023159",
            "telephone_number": "319-377-5343",
            "fax_number": "319-447-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BLAIRS FERRY RD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023159",
            "telephone_number": "319-377-5343",
            "fax_number": "319-447-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRECHT",
        "first_name": "TROY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1202762",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

Verify at the official NPI Registry.