Individual provider Active NPI

Beth Triebel, OD

  • Optometrist
  • Urbandale, IA
National Provider Identifier
1699733329
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01965 Issued in IA
Practice address
2699 86TH St
Urbandale, IA 50322-4309
Phone
(515) 270-2490
Fax
(515) 270-2494
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 01965 IA Primary

Addresses

Primary practice location

2699 86TH St
Urbandale, IA 50322-4309

Mailing address

2699 86TH St
Urbandale, IA 50322-4309
Phone (515) 270-2490

Other identifiers 2

IdentifierTypeStateIssuer
48180OtherIABLUE CROSS
410035605OtherIARAILROAD MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000893 IA Practitioner - Optometry 8123151230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.84 of 100Reported as group
Quality
81.68
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01965IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Park Family Eye Care, LLP CurrentSince Jan 1, 2000 Accepting new patients
Vision Park Family Eye Care Optometrist CurrentSince Jan 1, 2000 Accepting new patients

Locations

2699 86th St
Urbandale, IA 50322
Phone (515) 270-2490

640 S 50th St
Unit 2180
West Des Moines, IA 50265
Phone (515) 225-8667

Interoperability endpoints

  • Direct secure messaging: drbethtriebel@direct.revolutionehr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214784000000",
    "number": "1699733329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224309",
            "telephone_number": "515-270-2490",
            "fax_number": "515-270-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224309",
            "telephone_number": "515-270-2490",
            "fax_number": "515-270-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIEBEL",
        "first_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "48180",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410035605",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.