Patrick John Fleming, O.D.
Individual provider Active NPI Optometrist · Marengo, IA
NPI 1124289186 · NPPES record last updated Feb 17, 2020
Key facts
- NPI
- 1124289186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 002433 (IA)
- Practice address
- 1022 Court Ave
Marengo, IA 52301-1438 - Phone
- (319) 642-3311
- Fax
- (319) 642-7111
- NPI assigned
- Jun 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1022 Court Ave
Marengo, IA 52301-1438
Phone (319) 642-3311
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 72 |
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 |
|---|---|---|---|---|
| I20081106000646 | IA | Practitioner - Optometry | 1355400235 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Valley Eye Care PLC | Optometrist | Current |
Accepting new patients |
| Marengo Chiropractic & Wellness Center, PC | Current |
Accepting new patients | |
| Mark T Mentzer OD PC | Optometrist | Past | Accepting new patients |
| Wolfe Clinic Inc | Past | Accepting new patients |
Locations
224 E Main St
Marengo, IA 52301
Phone (319) 642-3311
1022 Court Ave
Marengo, IA 52301
Phone (319) 642-3311
Interoperability endpoints
- patrick.fleming@direct.revolutionehr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002433 | IA | Yes |
Addresses
Primary practice location
1022 Court Ave
Marengo, IA 52301-1438
Mailing address
PO Box 204
Marengo, IA 52301-0204
Phone (319) 642-3311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202547 | Medicaid | IA |
Other providers in Marengo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2020. 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.