Individual provider Active NPI

Robert Thomas Kingus, O.D.

  • Optometrist
  • Cedar Rapids, IA
National Provider Identifier
1619182219
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02352 Issued in IA
Practice address
5350 Kirkwood Blvd SW Ste 100
Cedar Rapids, IA 52404-5233
Phone
(319) 365-2946
Fax
(319) 365-2948
NPI assigned
May 14, 2007
Last updated
May 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02352 IA Primary

Addresses

Primary practice location

5350 Kirkwood Blvd SW Ste 100
Cedar Rapids, IA 52404-5233

Mailing address

5350 Kirkwood Blvd SW
Ste 100
Cedar Rapids, IA 52404-5233
Phone (319) 365-2946

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
I20090316000629 IA Practitioner - Optometry 8527125707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5350 Kirkwood Blvd SW
Suite 100
Cedar Rapids, IA 52404-5233
Phone (319) 365-2946

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
80.56
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Copeland Eyecare PLLC Optometrist CurrentSince Nov 1, 2018 Accepting new patients
Robert T. Kingus O.D., PC Optometrist CurrentSince Apr 4, 2016 Accepting new patients
R.D. Espe OD, PC Optometrist Past Accepting new patients
Spanda Inc Optometrist PastSince Sep 8, 2010 Accepting new patients
Abbe Management Corp PastSince Jul 1, 1994 Accepting new patients

Locations

1030 Blairs Ferry Rd NE
Cedar Rapids, IA 52402
Phone (319) 393-4348

2605 Blairs Ferry Rd NE
Cedar Rapids, IA 52402
Phone (319) 294-3360

5350 Kirkwood Blvd SW
Ste 100
Cedar Rapids, IA 52404
Phone (319) 365-2946

2611 James St
Ste 200
Coralville, IA 52241
Phone (319) 466-0644

Organizations & group practices 5

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1619182219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 KIRKWOOD BLVD SW",
            "address_2": "STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045233",
            "telephone_number": "319-365-2946",
            "fax_number": "319-365-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 KIRKWOOD BLVD SW STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524045233",
            "telephone_number": "319-365-2946",
            "fax_number": "319-365-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGUS",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.