Individual provider Active NPI

Shanna Renae Studer, O.D.

  • Optometrist
  • Humboldt, IA
National Provider Identifier
1255823969
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
091469 Issued in IA
Practice address
10 Taft St. S
Humboldt, IA 50548
Phone
(515) 332-2950
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 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 091469 IA Primary

Addresses

Primary practice location

10 Taft St. S
Humboldt, IA 50548

Mailing address

10 Taft St S
Humboldt, IA 50548-2037

Other names 1

  • Shanna Renae Miller Former name

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
I20180927001469 IA Practitioner - Optometry 3274884465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolfe Clinic Eye Centers LCGroup PAC ID 1850285479, 8 clinicians

Practice addresses (Care Compare)

10 Taft St S
Humboldt
Humboldt, IA 50548-2037
Phone (515) 332-2950

100 S 23Rd St
Fairfield, IA 52556-4201
Phone (515) 472-6151

202 S 6TH St
Sac City, IA 50583-2242
Phone (712) 662-7311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wolfe Clinic Eye Centers LC Optometrist Current Accepting new patients
Wolfe Clinic Eye Centers LC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Wolfe Clinic Eye Centers LC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Wolfe Clinic Inc Current Accepting new patients

Locations

100 S 23rd St
Fairfield, IA 52556
Phone (515) 472-6151

10 Taft St S
#Three
Humboldt, IA 50548
Phone (515) 332-2950

10 Taft St S
Humboldt, IA 50548
Phone (515) 332-2950

309 E Church St
Marshalltown, IA 50158
Phone (515) 754-6200

202 S 6th St
Sac City, IA 50583
Phone (712) 662-7311

Interoperability endpoints

  • Direct secure messaging: sstuder@wolfe.intellechartdirect.net

Organizations & group practices 4

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": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1255823969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TAFT ST S",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505482037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TAFT ST. S",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "50548",
            "telephone_number": "515-332-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDER",
        "first_name": "SHANNA",
        "middle_name": "RENAE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "091469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "MILLER",
            "middle_name": "RENAE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Humboldt, IA

Sources for this page

Verify at the official NPI Registry.