Individual provider Active NPI

Connie Jo Feldman, OD

  • Optometrist
  • Marshalltown, IA
National Provider Identifier
1245200583
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02100 Issued in IA
Practice address
501 E Main St
Marshalltown, IA 50158-0773
Phone
(641) 752-1511
Fax
(641) 753-8773
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02100 IA Primary

Addresses

Primary practice location

501 E Main St
Marshalltown, IA 50158-0773

Mailing address

501 E Main St
PO Box 773
Marshalltown, IA 50158-0773
Phone (641) 752-1511

Other identifiers 1

IdentifierTypeStateIssuer
1211946MedicaidIA

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
I20071217000219 IA Practitioner - Optometry 9335239284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marshalltown Vision P.C. 4 clinicians

Practice addresses (Care Compare)

501 E Main St
Eyecare Associates
Marshalltown, IA 50158-1906
Phone (641) 752-1511

Merit-based Incentive Payment System (MIPS)

Final score
96.12 of 100Reported as group
Quality
92.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02100IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshalltown Vision P.C. Optometrist CurrentSince Jan 1, 2007 Accepting new patients

Locations

501 E Main St
Marshalltown, IA 50158
Phone (641) 752-1511

1001 S County Rd
Ste B
Toledo, IA 52342
Phone (641) 484-5509

Interoperability endpoints

  • Direct secure messaging: connie.feldman@marshalltown-eye-care.direct.kno2fy.com

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1245200583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E MAIN ST",
            "address_2": "PO BOX 773",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501580773",
            "telephone_number": "641-752-1511",
            "fax_number": "641-753-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E MAIN ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501580773",
            "telephone_number": "641-752-1511",
            "fax_number": "641-753-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "CONNIE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1211946",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

Verify at the official NPI Registry.