Breuer Eye Care
Organization Active NPI Optometrist · Spencer, IA
NPI 1346645587 · NPPES record last updated Jul 29, 2020
Key facts
- NPI
- 1346645587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 002540 (IA)
- Legal business name
- BREUER EYE CARE
- Practice address
- 714 S Grand Ave
Spencer, IA 51301-5730 - Phone
- (712) 362-3982
- Fax
- (712) 262-7831
- NPI assigned
- Oct 30, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Joni R Breuer, O.D.
- Title
- Optometrist/ Manager
- Phone
- (515) 450-3834
Practitioners 2
-
Joni Ruth Breuer, O.D.
-
Jessica E Curran, O.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Northwest Vision Care |
Ocular Prostheses|Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150121002120 | IA | Part B Supplier - Clinic/Group Practice | 4385968338 |
Receives reassigned benefits from 2 practitioners Practice locations: Spencer, IA |
| O20151222002780 | IA | DME Supplier - Optician | 4385968338 | Practice locations: Spencer, IA |
National Provider Directory
Locations
714 S Grand Ave
Spencer, IA 51301
Phone (712) 262-3982
110 W 4th St
Ste 110
Spencer, IA 51301
Phone (712) 207-3724
Interoperability endpoints
- office3426@direct.crystalpm.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 002540 | IA | Yes |
Addresses
Primary practice location
714 S Grand Ave
Spencer, IA 51301-5730
Mailing address
714 S Grand Ave
Spencer, IA 51301-5730
Phone (712) 262-3982
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346645587 | Medicaid | IA |
Other names
- Northwest Vision Care
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office3426@direct.crystalpm.com | Direct |
Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.