Individual provider Active NPI

Thomas Kemmerer, O.D.

  • Optometrist
  • Des Moines, IA
National Provider Identifier
1245587724
Registry record updated Sep 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002614 Issued in IA
Practice address
3800 Merle Hay Rd Ste 407
Des Moines, IA 50310-1323
Phone
(515) 278-1653
Fax
(515) 278-0043
NPI assigned
Aug 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002614 IA Primary

Addresses

Primary practice location

3800 Merle Hay Rd Ste 407
Des Moines, IA 50310-1323

Mailing address

16477 Dellwood Dr
Clive, IA 50325-2576
Phone (515) 505-0228

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
I20200930000586 IA Practitioner - Optometry 8123271723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Invision Eye Care PLLCGroup PAC ID 1759874522, 3 clinicians

Practice addresses (Care Compare)

10001 University Ave
Suite 110
Clive, IA 50325-6449
Phone (515) 224-9681

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002614IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Invision Eye Care, PLLC Optometrist CurrentSince Jan 1, 2026 Accepting new patients

Locations

10001 University Ave
Ste 110
Clive, IA 50325
Phone (515) 224-7661

3800 Merle Hay Rd
Ste 407
Des Moines, IA 50310
Phone (515) 278-1653

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": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599955200000",
    "number": "1245587724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16477 DELLWOOD DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503252576",
            "telephone_number": "515-505-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 MERLE HAY RD STE 407",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503101323",
            "telephone_number": "515-278-1653",
            "fax_number": "515-278-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMMERER",
        "first_name": "THOMAS",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-14",
        "last_updated": "2020-09-13",
        "certification_date": "2020-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.