Carla Rae Iseman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

416T Issued in WY

Practice address

106 S Absaroka St
Powell, WY 82435-2708

Phone

(307) 754-2020

Fax

(307) 764-2300

NPI assigned

Apr 29, 2014

Last updated

Jun 26, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Optometry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Powell Vision LLCGroup PAC ID 7113253972, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Powell Vision LLC

  dba Powell Vision Clinic

  • Optometrist
  • Powell, WY
  • NPI 1578714325
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1437569563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S ABSAROKA ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352708",
            "telephone_number": "714-840-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S ABSAROKA ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352708",
            "telephone_number": "307-754-2020",
            "fax_number": "307-764-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISEMAN",
        "first_name": "CARLA",
        "middle_name": "RAE",
        "name_prefix": "Miss",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "416T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L Rock Hull, D.M.D.
• Steven Grant Hultgren, PHARMD
• Hyland Nursing Services LLC
• Brittney Hyland
• David Hyland, RN
• Lisa A. Jarvis, PA
• William J Jarvis, MD
• Kristi Jensen, RNFA
• Jessica L Tobin (Tobin Chiropractic)
• Callie Rose Johns

• Optometrist in Powell, WY
• Providers in Powell, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.

Verify at the official NPI Registry.