Active NPI
Lou Ann Kiessling, M.D.
- Ophthalmology Physician
- Carroll, IA
National Provider Identifier
1457328528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 31091
- Practice address
- 405 S Clark St
Suite 220
Carroll, IA 51401-3065 - Phone
- (712) 792-8255
- Fax
- (712) 792-8256
- NPI assigned
- Mar 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 31091 | IA | Primary |
Addresses
Primary practice location
405 S Clark St
Suite 220
Carroll, IA 51401-3065
Mailing address
405 S Clark St
Suite 220
Carroll, IA 51401-3065
Phone (712) 792-8255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1139030 | Medicaid | IA |
Other names 1
- Lou Ann Kiessling Lease
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31091 | IA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates LLC | Past | Accepting new patients | |
| Mid Michigan Eye Care Center, PC | Ophthalmology | Past | Accepting new patients |
| Welch Eye Center | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 3
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
- Perry, IA
- NPI 1841771318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1457328528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 S CLARK ST",
"address_2": "SUITE 220",
"city": "CARROLL",
"state": "IA",
"postal_code": "514013065",
"telephone_number": "712-792-8255",
"fax_number": "712-792-8256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 S CLARK ST",
"address_2": "SUITE 220",
"city": "CARROLL",
"state": "IA",
"postal_code": "514013065",
"telephone_number": "712-792-8255",
"fax_number": "712-792-8256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIESSLING",
"first_name": "LOU",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "31091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1139030",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LOU ANN",
"last_name": "LEASE",
"middle_name": "KIESSLING",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Carroll, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.