Active NPI
Eric O'Brien, OD
- Optometrist
- West Burlington, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002520
- Practice address
- 324 W Agency Rd
West Burlington, IA 52655-1674 - Phone
- (319) 753-3115
- NPI assigned
- Jul 4, 2011
- Last updated
- Aug 5, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010504 | IL | |
| Optometrist | 152W00000X | 002520 | IA | Primary |
Addresses
Primary practice location
324 W Agency Rd
West Burlington, IA 52655-1674
Mailing address
324 W Agency Rd
West Burlington, IA 52655-1674
Phone (319) 753-3115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1730 E Jackson St
Macomb, IL 61455-2531
Phone (309) 836-3373
324 W Agency Rd
West Burlington, IA 52655-1674
Phone (319) 753-3115
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002520 | IA | MD | Optometrist |
| 046010504 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Eric Botts & Associates LLC | Optometrist | Current | Accepting new patients |
Locations
324 W Agency Rd
West Burlington, IA 52655
Phone (319) 753-2269
659 Knox Square Dr
Galesburg, IL 61401
Phone (309) 343-6870
1730 E Jackson St
Macomb, IL 61455
Phone (309) 833-1456
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": "1309737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1386931921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 W AGENCY RD",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551674",
"telephone_number": "319-753-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 W AGENCY RD",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551674",
"telephone_number": "319-753-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "ERIC",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-04",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010504",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "002520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.