Individual provider Active NPI

Cord Robert Linville, OD

  • Optometrist
  • Des Moines, IA
National Provider Identifier
1184119018
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
354635 Issued in WI
Practice address
6004 SW 9TH St
Des Moines, IA 50315-5011
Phone
(515) 287-0820
NPI assigned
Jun 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 354635 WI Primary
Optometrist 152W00000X 2018021080 MO

Addresses

Primary practice location

6004 SW 9TH St
Des Moines, IA 50315-5011

Mailing address

6004 SW 9TH St
Des Moines, IA 50315-5011
Phone (515) 287-0820

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
I20221230001926 IA Practitioner - Optometry 5698027860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feh OptometryGroup PAC ID 8022458496, 3 clinicians

Practice addresses (Care Compare)

6004 SW 9TH St
Des Moines, IA 50315-5011
Phone (515) 287-0820

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018021080MOMDOptometrist
354635WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Feh Optometry Optometrist CurrentSince Apr 11, 2024 Accepting new patients

Locations

6004 SW 9th St
Des Moines, IA 50315
Phone (515) 287-0820

Organizations & group practices 1

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": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1184119018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155011",
            "telephone_number": "515-287-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155011",
            "telephone_number": "515-287-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINVILLE",
        "first_name": "CORD",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-23",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "354635",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2018021080",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.