Individual provider Active NPI

Cassidy Wendler

  • Optometrist
  • Coralville, IA
National Provider Identifier
1184299091
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
108793 Issued in IA
Practice address
708 5TH St Ste 1
Coralville, IA 52241-2339
Phone
(319) 569-1936
NPI assigned
May 24, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 108793 IA Primary

Addresses

Primary practice location

708 5TH St Ste 1
Coralville, IA 52241-2339

Mailing address

708 5TH St Ste 1
Coralville, IA 52241-2339
Phone (319) 569-1936

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
I20211130001400 IA Practitioner - Optometry 2668876905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Copeland Eyecare PLLCGroup PAC ID 1759557085, 5 clinicians

Practice addresses (Care Compare)

2611 James St
Suite 200
Coralville, IA 52241-1961
Phone (319) 466-0644

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
80.56
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108793IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Roggy Vision Center, PLLC Optometrist CurrentSince Dec 12, 2021 Accepting new patients
Copeland Eyecare PLLC Optometrist CurrentSince May 4, 2022 Accepting new patients
Coralville Eye Associates, Inc Optometrist CurrentSince May 4, 2022 Accepting new patients

Locations

1030 Blairs Ferry Rd NE
Cedar Rapids, IA 52402
Phone (319) 393-4348

2605 Blairs Ferry Rd NE
Cedar Rapids, IA 52402
Phone (319) 294-3360

2611 James St
Ste 200
Coralville, IA 52241
Phone (319) 466-0644

708 5th St
Ste 1
Iowa City, IA 52241
Phone (319) 338-4333

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, 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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1184299091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 5TH ST STE 1",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412339",
            "telephone_number": "319-569-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 5TH ST STE 1",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412339",
            "telephone_number": "319-569-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDLER",
        "first_name": "CASSIDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "108793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.