Individual provider Active NPI

William Rae Adler, OD

  • Vision Therapy Optometrist
  • Albia, IA
National Provider Identifier
1457444200
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
1561 Issued in IA
Practice address
6584 165TH St
Box 100
Albia, IA 52531-0100
Phone
(641) 932-7614
Fax
(641) 932-3372
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 1561 IA Primary

Addresses

Primary practice location

6584 165TH St
Box 100
Albia, IA 52531-0100

Mailing address

PO Box 100
6584 165TH Street
Albia, IA 52531-0100
Phone (641) 932-7614

Other identifiers 1

IdentifierTypeStateIssuer
0091058MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100610000770 IA Practitioner - Optometry 6507996964 Reassigns benefits to 2 organizations
I20180416001254 MO Practitioner - Optometry 6507996964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
International Eyecare Center LLCGroup PAC ID 0244125235, 20 clinicians

Practice addresses (Care Compare)

125 N 13TH St
Centerville, IA 52544-1705
Phone (641) 437-4099

1702 N Baltimore St
Kirksville, MO 63501-2485
Phone (660) 665-6262

215 Progress Rd
Hannibal, MO 63401-6637
Phone (573) 248-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1561IAMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
International Eyecare Center Inc CurrentSince Nov 13, 2015 Accepting new patients
William Adler OD,PC Vision Therapy Current Accepting new patients
International Eyecare Center LLC Vision Therapy CurrentSince Nov 13, 2015 Accepting new patients
Aeg Iowa Professional PC CurrentSince Dec 1, 2024 Accepting new patients
Aeg Iowa Professional PC Past Accepting new patients

Locations

125 N 13th St
Centerville, IA 52544
Phone (641) 437-4099

2445 Broadway St
Quincy, IL 62301
Phone (217) 222-8800

2011 Corona Rd
Columbia, MO 65203
Phone (314) 523-3480

215 Progress Rd
Hannibal, MO 63401
Phone (573) 248-1616

1702 N Baltimore St
Kirksville, MO 63501
Phone (660) 665-5674

1200 E Campbell Rd
Ste 108
Richardson, TX 75081
Phone (972) 370-5552

Organizations & group practices 5

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1457444200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "address_2": "6584 165TH STREET",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525310100",
            "telephone_number": "641-932-7614",
            "fax_number": "641-932-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6584 165TH ST",
            "address_2": "BOX 100",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525310100",
            "telephone_number": "641-932-7614",
            "fax_number": "641-932-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADLER",
        "first_name": "WILLIAM",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IA",
            "license": "1561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091058",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albia, IA

Sources for this page

Verify at the official NPI Registry.