Individual provider Active NPI

McKenzie Friedman

  • Optometrist
  • Urbandale, IA
National Provider Identifier
1124828546
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
132266 Issued in IA
Practice address
2699 86TH St
Urbandale, IA 50322-4309
Phone
(515) 270-2490
NPI assigned
Mar 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 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 132266 IA Primary

Addresses

Primary practice location

2699 86TH St
Urbandale, IA 50322-4309

Mailing address

2699 86TH St
Urbandale, IA 50322-4309
Phone (515) 661-7274

Other practice location 1

640 S 50th St
West Des Moines, IA 50265-6993
Phone (515) 225-8667

Other practice location 2

905 W Bridge Rd Ste 1
Polk City, IA 50226-2327
Phone (515) 329-6454

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
I20250717000202 IA Practitioner - Optometry 0345755351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Park Family Eye Care, LLPGroup PAC ID 7214828490, 5 clinicians

Practice addresses (Care Compare)

2699 86TH St
Urbandale, IA 50322-4309
Phone (515) 270-2490

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132266IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Park Family Eye Care Optometrist CurrentSince Jun 8, 2025 Accepting new patients
Vision Park Family Eye Care, LLP CurrentSince Jun 16, 2025 Accepting new patients
Polk City Eyecare Inc Optometrist PastSince Jan 14, 2018 Accepting new patients

Locations

2699 86th St
Urbandale, IA 50322
Phone (515) 270-2490

640 S 50th St
Unit 2180
West Des Moines, IA 50265
Phone (515) 225-8667

Organizations & group practices 3

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": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1124828546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224309",
            "telephone_number": "515-661-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224309",
            "telephone_number": "515-270-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 S 50th St",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502656993",
            "country_code": "US",
            "telephone_number": "515-225-8667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 W Bridge Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Polk City",
            "state": "IA",
            "postal_code": "502262327",
            "country_code": "US",
            "telephone_number": "515-329-6454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "MCKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "132266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.