Active NPI
Kreg Harper, O.D.
- Optometrist
- Fairfield, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 01952
- Practice address
- 100 S 23Rd St
Fairfield, IA 52556-4201 - Phone
- (641) 472-6151
- Fax
- (641) 472-3630
- NPI assigned
- Aug 1, 2006
- Last updated
- Jun 13, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 01952 | IA | Primary |
Addresses
Primary practice location
100 S 23Rd St
Fairfield, IA 52556-4201
Mailing address
309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2176507 | Other | NE | UNITED HEALTHCARE |
| P00406801 | Other | IA | RAILROAD MEDICARE |
| 37107 | Other | NE | BLUE CROSS & BLUE SHIELD |
| 0417634 | Medicaid | IA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Army Post Rd
Suite 16
Des Moines, IA 50315-6203
Phone (515) 287-5565
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1167 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 1994 | KS | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Professional Eyecare - Fountains Inc | Optometrist | Past | Accepting new patients |
| Robert F Tobin & Associates | Past | Accepting new patients |
Locations
200 Army Post Rd
Des Moines, IA 50315
Phone (515) 287-5565
200 Army Post Rd
Ste 16
Des Moines, IA 50315
Phone (515) 287-5565
2574 Hubbell Ave
Ste 111
Des Moines, IA 50317
Phone (515) 262-1094
1534 28th Ave N
#515
Fort Dodge, IA 50501
Phone (515) 573-1145
5075 E University Ave
Pleasant Hill, IA 50327
Phone (515) 265-5322
5075 E University Ave
Ste C
Pleasant Hill, IA 50327
Phone (515) 265-5322
1905 Ep True Pkwy
West Des Moines, IA 50265
Phone (515) 225-0877
1905 Ep True Pkwy
Ste 103
West Des Moines, IA 50265
Phone (515) 225-0877
Interoperability endpoints
- kreg.harper@marshalltown-eye-care.direct.kno2fy.com
Organizations & group practices 4
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.
-
dba Tobin Eye Institute
- Ophthalmology Physician
- Council Bluffs, IA
- NPI 1548311459
-
- Optometrist
- Overland Park, KS
- NPI 1518019199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213315200000",
"number": "1720095292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E CHURCH ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501582946",
"telephone_number": "641-754-6200",
"fax_number": "641-754-6245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S 23RD ST",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525564201",
"telephone_number": "641-472-6151",
"fax_number": "641-472-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "KREG",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2008-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "01952",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2176507",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00406801",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "37107",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0417634",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.
- 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.