Active NPI
Benjamin Tatsunori Iwai, O.D.
- Optometrist
- Burlington, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002605
- Practice address
- 313 N Roosevelt Ave
Burlington, IA 52601-1757 - Phone
- (319) 758-9145
- NPI assigned
- Jul 25, 2013
- Last updated
- Jul 25, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002605 | IA | Primary |
Addresses
Primary practice location
313 N Roosevelt Ave
Burlington, IA 52601-1757
Mailing address
313 N Roosevelt Ave
Burlington, IA 52601-1757
Phone (319) 758-9145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Forum Blvd
Suite 14
Columbia, MO 65203-1997
Phone (573) 446-0331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Om Vision Services Inc, | Current | Accepting new patients | |
| International Eyecare Center Inc | Optometrist | Current | Accepting new patients |
| Om Vision Services Inc, | Current | Accepting new patients | |
| Paige Hedgpath Odpc | Optometrist | Current | Accepting new patients |
| International Eyecare Center LLC | Optometrist | Current | Accepting new patients |
| Paige Hedgpath OD,PC | Optometrist | Current | Accepting new patients |
| International Eyecare Center, Inc. | Optometrist | Past | Accepting new patients |
| Pearle Vision Inc | Past | Accepting new patients |
Locations
1400 Forum Blvd
Columbia, MO 65203
Phone (573) 446-0331
1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331
2011 Corona Rd
Columbia, MO 65203
Phone (314) 523-3480
2300 Columbia Mall
Columbia, MO 65203
Phone (417) 881-5530
215 Progress Rd
Hannibal, MO 63401
Phone (573) 248-1616
323 Monroe St
Jefferson Cty, MO 65101
Phone (573) 635-1313
6756 Chippewa St
Saint Louis, MO 63109
Phone (314) 351-4991
1518 E Battlefield Rd
Springfield, MO 65804
Phone (417) 881-5530
1200 E Campbell Rd
Ste 108
Richardson, TX 75081
Phone (972) 370-5552
Organizations & group practices 8
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": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1417399890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 N ROOSEVELT AVE",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526011757",
"telephone_number": "319-758-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 N ROOSEVELT AVE",
"city": "BURLINGTON",
"state": "IA",
"postal_code": "526011757",
"telephone_number": "319-758-9145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IWAI",
"first_name": "BENJAMIN",
"middle_name": "TATSUNORI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-25",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "002605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.