Keith A Schrunk, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

IA02260 Issued in IA

Practice address

201 N Main St
Box 399
Denison, IA 51442-0399

Phone

(712) 263-2020

Fax

(712) 263-4053

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IA, NE2 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

Specialty

Optometry

Education

Southern College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Care Clinic PCGroup PAC ID 8325931223, shared by 2 NPIs, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.11 of 100Reported as group

Quality

86.22

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keith.schrunk@direct.revolutionehr.com

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Burgess Health Center

  • Community Based Hospice Care Agency
  • Onawa, IA
  • NPI 1013080951

  Corporate Director, Corporate Officer

  CMS ownership
• Burgess Health Center

  • Rural Health Clinic/Center
  • Sloan, IA
  • NPI 1013243633

  Corporate Director, Corporate Officer

  CMS ownership
• Burgess Health Center

  • Rural Health Clinic/Center
  • Mapleton, IA
  • NPI 1588991962

  Corporate Director, Corporate Officer

  CMS ownership
• Burgess Health Center

  • Home Health Agency
  • Onawa, IA
  • NPI 1710050661

  Corporate Director, Corporate Officer

  CMS ownership
• Burgess Health Center

  • Critical Access Hospital
  • Onawa, IA
  • NPI 1730253360

  Corporate Director, Corporate Officer

  CMS ownership
• Burgess Health Center

  • Critical Access Hospital
  • Onawa, IA
  • NPI 1871668780

  Corporate Director, Corporate Officer

  CMS ownership

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.

• Vision Care Clinic PC

  • Optometrist
  • Denison, IA
  • NPI 1083668206

  IA, Optometrist

  Medicare reassignment NPD
• Vision Care Clinic PC

  • Optometrist
  • Blair, NE
  • NPI 1588849848

  NE, Optometrist

  Medicare reassignment NPD
• Vision Care Clinic PC

  • Optometrist
  • Moville, IA
  • NPI 1215210737
  NPD (past) Authorized official
• Vision Care Clinic PC

  • Optometrist
  • Manning, IA
  • NPI 1437104353
  NPD
• Burgess Health Center

  • Rural Health Clinic/Center
  • Whiting, IA
  • NPI 1487022216
  NPD (past)
• Ida County Iowa Community Hospital

  • Rural Health Clinic/Center
  • Holstein, IA
  • NPI 1689249922
  NPD (past)
• Kingsley Vision Center PC

  • Optometrist
  • Kingsley, IA
  • NPI 1639252331
  NPD (past)
• Southern Hills Eye Care PC

  • Optometrist
  • Sioux City, IA
  • NPI 1811084353
  NPD (past)
• Vision Care Clinic PC

  • Optometrist
  • Missouri Valley, IA
  • NPI 1548215395
  NPD (past)
• Vision Care Clinic PC

  • Optometrist
  • Onawa, IA
  • NPI 1912951997
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1477545697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "address_2": "BOX 399",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514420399",
            "telephone_number": "712-263-2020",
            "fax_number": "712-263-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "address_2": "BOX 399",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514420399",
            "telephone_number": "712-263-2020",
            "fax_number": "712-263-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRUNK",
        "first_name": "KEITH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "IA02260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021339",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL & OTHER STATES",
            "identifier": "421497917",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "18020",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A004235",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Rassel
• Jessica Victoria Michelle Raymie, PHARMD
• Regional West Medical Center
• Erin Louise Schechinger, ARNP
• Schleswig Community School District
• Segebart Chiropractic PLLC
• Jennifer Jean Seuntjens, RPH
• John W Sondag, L.M.H.C.
• Douglass J Soseman, DDS
• St Anthony Regional Hospital and Nursing Home

• Optometrist in Denison, IA
• Providers in Denison, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.