Individual provider Active NPI

William Edward McIntosh, OD

  • Optometrist
  • Carroll, IA
National Provider Identifier
1326063173
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01901 Issued in IA
Practice address
805 N Main St
Carroll, IA 51401
Phone
(712) 792-9687
Fax
(712) 792-9828
NPI assigned
Jul 13, 2006
Last updated
Sep 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 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 01901 IA Primary

Addresses

Primary practice location

805 N Main St
Carroll, IA 51401

Mailing address

805 N Main St
PO Box 37
Carroll, IA 51401
Phone (712) 792-9687

Other identifiers 1

IdentifierTypeStateIssuer
0284208MedicaidIA

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
I20080729000655 IA Practitioner - Optometry 9638243348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carroll Eye Care Associates PCGroup PAC ID 9830263540, 2 clinicians

Practice addresses (Care Compare)

805 N Main St
Carroll, IA 51401-2369
Phone (712) 792-9687

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Eye Care Associates PC Optometrist CurrentSince May 1, 2008 Accepting new patients

Locations

805 N Main St
Carroll, IA 51401
Phone (712) 792-9687

Interoperability endpoints

  • Direct secure messaging: macattack17@carrolleyecare.eyefinity-direct.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1326063173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N MAIN ST",
            "address_2": "PO BOX 37",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "51401",
            "telephone_number": "712-792-9687",
            "fax_number": "712-792-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N MAIN ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "51401",
            "telephone_number": "712-792-9687",
            "fax_number": "712-792-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0284208",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.