Active NPI
Daniel E Mersch, OD
- Optometrist
- Manchester, IA
National Provider Identifier
1619947900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02014
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0101048 | Medicaid | IA | |
| 12969 | Other | IA | WELLMARK |
| 235466 | Other | IA | MIDLANDS CHOICE |
| 73206 | Other | IA | COVENTRY |
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
- 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 100
- Quality
- 52.43
- Promoting interoperability
- 46
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02014 | IA | MD | Optometrist |
Interoperability endpoints
- 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.
-
- Optometrist
- Manchester, IA
- NPI 1811967557
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.