Organization Active NPI

Ashworth Vision Clinic PC

  • Optometrist
  • West Des Moines, IA
National Provider Identifier
1215064357
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1907 Issued in IA
Legal business name
ASHWORTH VISION CLINIC PC
Practice address
5970 Ashworth Rd
West Des Moines, IA 50266-7110
Phone
(515) 440-4610
Fax
(515) 440-4611
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Dr. Barbara A Scheetz, ODNPI 1467488858
Title
Owner
Phone
(515) 440-4610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1907 IA Primary

Addresses

Primary practice location

5970 Ashworth Rd
West Des Moines, IA 50266-7110

Mailing address

5970 Ashworth Rd
West Des Moines, IA 50266-7110
Phone (515) 440-4610

Other identifiers 1

IdentifierTypeStateIssuer
DF8829OtherIARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070524000134 IA Part B Supplier - Clinic/Group Practice 1254438302 Receives reassigned benefits from 3 practitioners
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

5958 Ashworth Rd
West Des Moines, IA 50266
Phone (515) 401-9475

5970 Ashworth Rd
West Des Moines, IA 50266
Phone (515) 440-4610

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1215064357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5970 ASHWORTH RD",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667110",
            "telephone_number": "515-440-4610",
            "fax_number": "515-440-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5970 ASHWORTH RD",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667110",
            "telephone_number": "515-440-4610",
            "fax_number": "515-440-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHWORTH VISION CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "SCHEETZ",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-440-4610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF8829",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.