Grant McPheron, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

099631 Issued in IA

Practice address

107 W Main St
New London, IA 52645-1335

Phone

(319) 367-5313

Fax

(319) 367-0220

NPI assigned

Sep 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Robert Scott McPheron, O.D.

  • Optometrist
  • New London, IA
  • NPI 1972589505
  Medicare reassignment

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1679187306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "NEW LONDON",
            "state": "IA",
            "postal_code": "526450159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W MAIN ST",
            "city": "NEW LONDON",
            "state": "IA",
            "postal_code": "526451335",
            "telephone_number": "319-367-5313",
            "fax_number": "319-367-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERON",
        "first_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "099631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Mark Pothitakis
• Erin Mollie Garvey, PTA
• Sylvia Ann Graber, ARNP
• Henry County Health Center, Inc. (Henry County Health Center - New London Clinic)
• Henry County Soldiers' and Sailors' Memorial Hospital (Physicians & Clinics of HCHC - New London)
• Robert Scott McPheron, O.D.
• Gina R McSorley, PTA
• New Life Link Counseling Services
• New London C.S.D.
• New London Family Health LC

• Optometrist in New London, IA
• Providers in New London, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.