Active NPI
Robert R Negrete, OD
- Optometrist
- Marshalltown, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2015T
- Practice address
- 116 W Main St
Marshalltown, IA 50158-5844 - Phone
- (641) 753-5042
- Fax
- (641) 753-5292
- NPI assigned
- May 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2015T | IA | Primary |
Addresses
Primary practice location
116 W Main St
Marshalltown, IA 50158-5844
Mailing address
116 W Main St
Marshalltown, IA 50158-5844
Phone (641) 753-5042
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35469 | Other | GROUP BC BS | |
| 53102 | Other | IA | BC BS |
| 4110973 | Medicaid | IA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
116 W Main St
Marshalltown, IA 50158-5844
Phone (641) 753-5042
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 41 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015T | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert R Negrete OD PC | Optometrist | Current | Accepting new patients |
| The Optical Center | Past | Accepting new patients |
Locations
324 S Ankeny Blvd
Ankeny, IA 50023
Phone (515) 370-2969
116 W Main St
Marshalltown, IA 50158
Phone (515) 753-5042
301 S Iowa Ave
Washington, IA 52353
Phone (319) 653-2371
221 N 2nd Ave
Washington, IA 52353
Phone (319) 653-4558
519 Court St
Williamsburg, IA 52361
Phone (319) 668-8000
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.
-
- Optometrist
- Marshalltown, IA
- NPI 1861590325
-
- Eyewear Supplier
- Marshalltown, IA
- NPI 1558427740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1447218003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 W MAIN ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501585844",
"telephone_number": "641-753-5042",
"fax_number": "641-753-5292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 W MAIN ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501585844",
"telephone_number": "641-753-5042",
"fax_number": "641-753-5292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEGRETE",
"first_name": "ROBERT",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "2015T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP BC BS",
"identifier": "35469",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "53102",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4110973",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.