Active NPI
Kristie Renae Semrow, O.D.
- Optometrist
- Ames, IA
National Provider Identifier
1184645111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02357
- Practice address
- 3800 Lincoln Way
Ames, IA 50014-3402 - Phone
- (515) 292-4269
- Fax
- (515) 268-0105
- NPI assigned
- Jul 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02357 | IA | Primary |
Addresses
Primary practice location
3800 Lincoln Way
Ames, IA 50014-3402
Mailing address
3118 SE Honeysuckle CT
Ankeny, IA 50021-7213
Phone (515) 965-0610
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IA2357 | Other | IA | EYEMED |
| 0741561 | Medicaid | IA | |
| 26206 | Other | IA | BCBS |
| 54062 | Other | IA | DAVIS VISION |
| 44382 | Other | IA | SPECTERA |
| 25587 | Other | IA | AVESIS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1304 NW 25TH St
Ankeny, IA 50023-7836
Phone (515) 965-0909
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 50 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Semrow Family Vision, PC | Optometrist | Current | Accepting new patients |
Locations
2409 SE Delaware Ave
Ste 104
Ankeny, IA 50021
Phone (515) 965-7711
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.
-
- Optometrist
- Ankeny, IA
- NPI 1073184339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184645111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3118 SE HONEYSUCKLE CT",
"city": "ANKENY",
"state": "IA",
"postal_code": "500217213",
"telephone_number": "515-965-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 LINCOLN WAY",
"city": "AMES",
"state": "IA",
"postal_code": "500143402",
"telephone_number": "515-292-4269",
"fax_number": "515-268-0105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMROW",
"first_name": "KRISTIE",
"middle_name": "RENAE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "02357",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "IA2357",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0741561",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "26206",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "54062",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "44382",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVESIS",
"identifier": "25587",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.