NPIMap

Organization Active NPI

American Eyecare PC

  • Optometrist
  • Mt Pleasant, IA
National Provider Identifier
1699314815
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AMERICAN EYECARE PC
Practice address
1802 E Washington St Ste 101
Mt Pleasant, IA 52641-3217
Phone
(319) 385-2020
NPI assigned
Jan 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Dr. Matthew W Ruhl, ODNPI 1386621985
Title
OD/Partner
Phone
(319) 754-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1802 E Washington St Ste 101
Mt Pleasant, IA 52641-3217

Mailing address

2743 Mount Pleasant St
Burlington, IA 52601-2137
Phone (319) 754-2020

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Direct@AmericanEyecareBurlingtonIA.CompulinkDirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040212000894 IA Part B Supplier - Clinic/Group Practice 5597659151 Receives reassigned benefits from 17 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Burlington, IA; Fort Madison, IA; Keokuk, IA; Mt Pleasant, IA
O20200605001939 IA DME Supplier - Physician - Optometrist 5597659151 Practice locations: Mt Pleasant, IA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2178334American Eyecare1802 E Washington St, Ste 101, Mount Pleasant, IA 52641Certificate of waiverJan 30, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
American Eyecare1802 E Washington St, Mt Pleasant, IA 52641-3217(319) 385-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1992

National Provider Directory

National Provider Directory
Tax ID family
David L McManis OD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2743 Mount Pleasant St
Burlington, IA 52601
Phone (319) 752-5691

1802 E Washington St
Ste 101
Mt Pleasant, IA 52641
Phone (319) 385-2020

1802 E Washington St
Ste 102
Mt Pleasant, IA 52641
Phone (319) 385-2020

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1699314815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 MOUNT PLEASANT ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526012137",
            "telephone_number": "319-754-2020",
            "fax_number": "319-758-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 E WASHINGTON ST STE 101",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526413217",
            "telephone_number": "319-385-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "RUHL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OD/PARTNER",
        "authorized_official_telephone_number": "319-754-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Direct@AmericanEyecareBurlingtonIA.CompulinkDirect.com",
            "affiliation": "N",
            "address_1": "1802 E Washington St",
            "address_2": "Ste 102",
            "city": "Mt Pleasant",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526413217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mt Pleasant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.