Active NPI
Robert Ryan Powell, O.D.
- Optometrist
- Erie, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0002956
- Practice address
- 893 Shuttleworth Dr
Erie, CO 80516-7242 - Phone
- (515) 306-2786
- NPI assigned
- Dec 6, 2008
- Last updated
- Sep 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002447 | IA | |
| Optometrist | 152W00000X | 0002956 | CO | Primary |
Addresses
Primary practice location
893 Shuttleworth Dr
Erie, CO 80516-7242
Mailing address
893 Shuttleworth Dr
Erie, CO 80516-7242
Phone (515) 306-2786
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2405 Ingersoll Ave
Des Moines, IA 50312-5233
Phone (515) 244-7740
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.61 of 100
- Quality
- 75.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.87
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002956 | CO | MD | Optometrist |
| 002447 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Real Optics Inc | Current | Accepting new patients | |
| Real Optics Inc | Past | Accepting new patients | |
| Real Optics Inc | Past | Accepting new patients | |
| Real Optics Inc | Past | Accepting new patients |
Locations
2405 Ingersoll Ave
Des Moines, IA 50312
Phone (515) 244-2338
2472 E Euclid Ave
Des Moines, IA 50317
Phone (515) 262-7555
5112 SE 14th St
Des Moines, IA 50320
Phone (515) 287-5422
9749 University Ave
Des Moines, IA 50325
Phone (515) 223-5000
4100 University Ave
Ste 106
West Des Moines, IA 50266
Phone (515) 224-1317
Organizations & group practices 4
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": "1228521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1558506402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "893 SHUTTLEWORTH DR",
"city": "ERIE",
"state": "CO",
"postal_code": "805167242",
"telephone_number": "515-306-2786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "893 SHUTTLEWORTH DR",
"city": "ERIE",
"state": "CO",
"postal_code": "805167242",
"telephone_number": "515-306-2786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "ROBERT",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-06",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "002447",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "0002956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, CO
- Plumeria Pathways
- Allison Michaud Poole, PA
- Portercare Adventist Health System (Afme PC Erie)
- Portercare Adventist Health System (AdventHealth Medical Group OB/GYN at Erie)
- Portercare Adventist Health Systems (Avista Family Medicine)
- William Mark Powell
- Jeffrey S Powers, CNM
- William Prester
- Jennifer Prey
- Mikaela Price
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.
- 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.