Drew A Ingram, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002551 Issued in IA

Practice address

3725 Ingersoll Ave
Des Moines, IA 50312-3410

Phone

(515) 279-2020

Fax

(515) 255-8002

NPI assigned

Jun 4, 2012

Last updated

Sep 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CVK Corporation

  dba Whylie Eye Care Centers

  • Optometrist
  • Des Moines, IA
  • NPI 1134203466
  Medicare reassignment NPD
• CVK Corporation

  dba Whylie Eye Care Centers

  • Optician
  • Des Moines, IA
  • NPI 1104890755
  NPD

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1528329869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123410",
            "telephone_number": "515-279-2020",
            "fax_number": "515-255-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123410",
            "telephone_number": "515-279-2020",
            "fax_number": "515-255-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "DREW",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nermin Imsirovic, ARNP
• Inclusive ABA Ia LLC
• Infinity Assessment Services LLC
• Ingersoll Dental Group PC
• Ingersoll Family Dentistry
• Kailey Ann Ingram, ARNP
• Kent Leslie Ingvalson, DPT
• Inner Health Services. Inc
• Innovative Counseling & Consulting, Inc.
• Innovative Psychiatric Care PC

• Optometrist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.