Bruce Richard Landis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1715 Issued in IA

Practice address

202 S Main St
Elkader, IA 52043-9078

Phone

(563) 245-2304

Fax

(563) 245-2392

NPI assigned

Sep 29, 2005

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

Indiana University - School of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woodland Eye Clinic PC 5 clinicians

Practice addresses (Care Compare)

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.

• Woodland Eye Clinic, PC

  • Optometrist
  • Dyersville, IA
  • NPI 1053741983

  IA, Optometrist

  Medicare reassignment Care Compare group NPD
• Woodland Eye Clinic, PC

  • Optometrist
  • West Union, IA
  • NPI 1023878485
  NPD

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1154318772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S MAIN ST",
            "address_2": "PO BOX 100",
            "city": "ELKADER",
            "state": "IA",
            "postal_code": "520430100",
            "telephone_number": "563-245-2304",
            "fax_number": "563-245-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S MAIN ST",
            "city": "ELKADER",
            "state": "IA",
            "postal_code": "520439078",
            "telephone_number": "563-245-2304",
            "fax_number": "563-245-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "BRUCE",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069633",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry William Fischer, M.D.
• Jamie Lee Hammersland, D.C.
• Suzannah Marie Hekel, PHARMD
• Jeff Klein DPM PC
• Timothy J Kane, D.C.
• Donna Lawlor, MD
• Kaitlin N Machovec
• Bridget McGreal, LMT
• Medical Associates Clinic, P.C.
• Jeffrey Thomas Messerly, D.O

• All providers in Elkader, IA
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.