Individual provider Active NPI

Robert R Negrete, OD

  • Optometrist
  • Marshalltown, IA
National Provider Identifier
1447218003
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2015T Issued in IA
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

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
35469OtherGROUP BC BS
53102OtherIABC BS
4110973MedicaidIA

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
I20050511000601 IA Practitioner - Optometry 6204828387 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2015TIAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert R Negrete OD PC Optometrist CurrentSince Jul 1, 2005 Accepting new patients
The Optical Center PastSince Sep 11, 2017 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.

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

Verify at the official NPI Registry.