Individual provider Active NPI

Luke R Ploessl, OD

  • Optometrist
  • Dubuque, IA
National Provider Identifier
1659910453
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
101192 Issued in IA
Practice address
2140 JFK Rd Ste F
Dubuque, IA 52002-3883
Phone
(563) 580-9932
NPI assigned
Dec 27, 2019
Last updated
May 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X 101192 IA Primary

Addresses

Primary practice location

2140 JFK Rd Ste F
Dubuque, IA 52002-3883

Mailing address

2140 JFK Rd Ste F
Dubuque, IA 52002-3883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200727002510 IA Practitioner - Optometry 8426472218 Reassigns benefits to 1 organization
I20200916001125 WI Practitioner - Optometry 8426472218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fuerste Eye ClinicGroup PAC ID 0941198063, 7 clinicians

Practice addresses (Care Compare)

2140 JFK Rd
Suite F
Dubuque, IA 52002-3883
Phone (563) 582-0769

507 S Monroe St
Lancaster, WI 53813-2054
Phone (608) 723-2143

Merit-based Incentive Payment System (MIPS)

Final score
82.12 of 100Reported as group
Quality
78
Improvement activities
40
Cost
69.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fuerste Eye Clinic CurrentSince Jul 6, 2020 Accepting new patients
Fuerste Eye Clinic PastSince Dec 29, 2019 Accepting new patients

Locations

2140 John F Kennedy Rd
Dubuque, IA 52002
Phone (563) 582-0769

2140 John F Kennedy Rd
Ste F
Dubuque, IA 52002

507 S Monroe St
Lancaster, WI 53813
Phone (608) 723-2131

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDFFBA

Organizations & group practices 2

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": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1659910453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 JFK RD STE F",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 JFK RD STE F",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520023883",
            "telephone_number": "563-580-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOESSL",
        "first_name": "LUKE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-27",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "101192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.