Individual provider Active NPI

Daniel E Mersch, OD

  • Optometrist
  • Manchester, IA
National Provider Identifier
1619947900
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02014 Issued in IA
Practice address
1214 W Main St
Manchester, IA 52057-2305
Phone
(563) 927-3682
Fax
(563) 927-6397
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02014 IA Primary

Addresses

Primary practice location

1214 W Main St
Manchester, IA 52057-2305

Mailing address

PO Box 217
Manchester, IA 52057-0217
Phone (563) 927-3682

Other identifiers 4

IdentifierTypeStateIssuer
0101048MedicaidIA
12969OtherIAWELLMARK
235466OtherIAMIDLANDS CHOICE
73206OtherIACOVENTRY

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
I20041123000289 IA Practitioner - Optometry 6002871688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1214 W Main St
Manchester, IA 52057-2305
Phone (563) 927-3682

Merit-based Incentive Payment System (MIPS)

Final score
57.63 of 100Reported as individual
Quality
52.43
Promoting interoperability
46
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02014IAMDOptometrist

Interoperability endpoints

  • Direct secure messaging: danielmerschod@manchesterfamilyvision.direct.eyemdemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1619947900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520570217",
            "telephone_number": "563-927-3682",
            "fax_number": "563-927-6397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520572305",
            "telephone_number": "563-927-3682",
            "fax_number": "563-927-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSCH",
        "first_name": "DANIEL",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101048",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "12969",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "235466",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "73206",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, IA

Sources for this page

Verify at the official NPI Registry.