Individual provider Active NPI

Matthew W Ruhl

  • Optometrist
  • Burlington, IA
National Provider Identifier
1386621985
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02328 Issued in IA
Practice address
2743 Mt Pleasant St
Burlington, IA 52601-2137
Phone
(319) 754-2020
Fax
(319) 754-2299
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 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 02328 IA Primary

Addresses

Primary practice location

2743 Mt Pleasant St
Burlington, IA 52601-2137

Mailing address

2743 Mt Pleasant St
Burlington, IA 52601-2137
Phone (319) 754-2020

Other identifiers 2

IdentifierTypeStateIssuer
0467845MedicaidIA
P00291880OtherIARAILROAD MEDICARE

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
I20050913001177 IA Practitioner - Optometry 9638102395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Eyecare PCGroup PAC ID 5597659151, 5 clinicians

Practice addresses (Care Compare)

1802 E Washington St
101 American Eyecare
Mt Pleasant, IA 52641-3217
Phone (319) 385-2020

2025 Main St
Keokuk, IA 52632-3225
Phone (319) 524-2020

2235 Ave L
Fort Madison, IA 52627-4008
Phone (319) 372-2020

2743 Mount Pleasant St
Burlington, IA 52601-2137
Phone (319) 754-2020

Merit-based Incentive Payment System (MIPS)

Final score
70.04 of 100Reported as individual
Quality
40.08
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
American Eyecare PC Optometrist Current Accepting new patients
American Eyecare PC Optometrist CurrentSince Jul 18, 2005 Accepting new patients

Locations

2743 Mount Pleasant St
Burlington, IA 52601
Phone (319) 752-5691

2235 Avenue L
Fort Madison, IA 52627
Phone (319) 372-2020

2025 Main St
Keokuk, IA 52632
Phone (319) 524-2020

1802 E Washington St
Ste 101
Mt Pleasant, IA 52641
Phone (319) 385-2020

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1386621985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 MT PLEASANT ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526012137",
            "telephone_number": "319-754-2020",
            "fax_number": "319-754-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 MT PLEASANT ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526012137",
            "telephone_number": "319-754-2020",
            "fax_number": "319-754-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUHL",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0467845",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00291880",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

Verify at the official NPI Registry.