Donald E McKim, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

01847 Issued in IA

Practice address

1610 W Townline St
Ste 115
Creston, IA 50801-1064

Phone

(641) 782-7619

Fax

(641) 782-6549

NPI assigned

Jun 9, 2005

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

Other identifiers 3

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

Practice roles

Locations

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.

• Eye Care Associates of Co LLC

  • Optometrist
  • Centennial, CO
  • NPI 1124674049

  IA

  Medicare reassignment NPD
• Eye Care Associates of Co LLC

  • Optometrist
  • Creston, IA
  • NPI 1548023518
  NPD

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1679577548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508010427",
            "telephone_number": "641-782-7619",
            "fax_number": "641-782-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 W TOWNLINE ST",
            "address_2": "STE 115",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011064",
            "telephone_number": "641-782-7619",
            "fax_number": "641-782-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIM",
        "first_name": "DONALD",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0037465",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "01847",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "24565",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James E Mansour, M.D.
• Matura Action Corporation
• Matura Action Corporation
• Rebecca McCann, NP
• Rebecca I McGuire
• Sally Anne McLuen-Felfhacker, L.I.S.W.
• Norris D Mercure, RPT
• Michael D Buck DDS, PC
• Allison Marie Miller, PMHNP
• Chanda Lynn Moreland-Hahesy, ARNP, FNP-C

• Optometrist in Creston, IA
• Providers in Creston, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.