Organization Active NPI

Westrum Optometry PLC

  • Optometrist
  • Des Moines, IA
National Provider Identifier
1548347255
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02344 Issued in IA
Legal business name
WESTRUM OPTOMETRY PLC
Practice address
315 E 5TH St
Des Moines, IA 50309-1916
Phone
(515) 282-5005
Fax
(515) 282-2010
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Dr. Joel Aaron Westrum, O.D.NPI 1801826334
Title
President
Phone
(515) 282-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 02344 IA Primary

Addresses

Primary practice location

315 E 5TH St
Des Moines, IA 50309-1916

Mailing address

315 E 5TH St
Des Moines, IA 50309-1916
Phone (515) 282-5005

Other identifiers 1

IdentifierTypeStateIssuer
0497784MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070119000244 IA Part B Supplier - Clinic/Group Practice 6608877501 Receives reassigned benefits from 3 practitioners
Practice locations: Des Moines, IA

National Provider Directory

National Provider Directory

Locations

315 E 5th St
Des Moines, IA 50309
Phone (515) 282-5005

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1548347255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091916",
            "telephone_number": "515-282-5005",
            "fax_number": "515-282-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091916",
            "telephone_number": "515-282-5005",
            "fax_number": "515-282-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTRUM OPTOMETRY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "WESTRUM",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-282-5005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0497784",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.