Individual provider Active NPI

Matthew John Donner, O.D.

  • Optometrist
  • Ames, IA
National Provider Identifier
1275761793
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002456 Issued in IA
Practice address
201 10TH St
Ames, IA 50010-6211
Phone
(515) 232-3451
Fax
(515) 233-4886
NPI assigned
Jun 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002456 IA Primary

Addresses

Primary practice location

201 10TH St
Ames, IA 50010-6211

Mailing address

201 10TH St
PO Box 903
Ames, IA 50010-6211
Phone (515) 232-3451

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
I20090928000466 IA Practitioner - Optometry 9436205747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John E Kruger, O.D., P.C.Group PAC ID 8729079181, 2 clinicians
Central Iowa Eye Associates, P.C.Group PAC ID 1355316464, 2 clinicians

Practice addresses (Care Compare)

201 10TH St
Ames, IA 50010-6211
Phone (515) 232-3451

2600 Grand Ave
Suite 202
Des Moines, IA 50312-5300
Phone (515) 243-1667

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John E Kruger, O.D., P.C. Optometrist CurrentSince Oct 1, 2013 Accepting new patients

Locations

201 10th St
Ames, IA 50010
Phone (515) 232-3451

Organizations & group practices 2

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1275761793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 10TH ST",
            "address_2": "PO BOX 903",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106211",
            "telephone_number": "515-232-3451",
            "fax_number": "515-233-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 10TH ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106211",
            "telephone_number": "515-232-3451",
            "fax_number": "515-233-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNER",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.