Individual provider Active NPI

Anthony Douglas Bailey, OD

  • Optometrist
  • Cedar Falls, IA
National Provider Identifier
1477532562
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1970 Issued in IA
Practice address
4521 Chadwick Rd
Suite 1
Cedar Falls, IA 50613-7958
Phone
(319) 266-1136
Fax
(319) 277-2326
NPI assigned
Jan 17, 2006
Last updated
Feb 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1970 IA Primary

Addresses

Primary practice location

4521 Chadwick Rd
Suite 1
Cedar Falls, IA 50613-7958

Mailing address

4521 Chadwick Rd
Suite 1
Cedar Falls, IA 50613-7958
Phone (319) 266-1136

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
I20041012000966 IA Practitioner - Optometry 8224098553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4521 Chadwick Rd
Suite 1
Cedar Falls, IA 50613-8045
Phone (319) 266-1136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1970IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony D Bailey OD PC Optometrist CurrentSince Jan 1, 2006 Accepting new patients

Locations

4521 Chadwick Rd
Ste 1
Cedar Falls, IA 50613
Phone (319) 266-1136

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1477532562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 CHADWICK RD",
            "address_2": "SUITE 1",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137958",
            "telephone_number": "319-266-1136",
            "fax_number": "319-277-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 CHADWICK RD",
            "address_2": "SUITE 1",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137958",
            "telephone_number": "319-266-1136",
            "fax_number": "319-277-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ANTHONY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.