Individual provider Active NPI

Kreg Harper, O.D.

  • Optometrist
  • Fairfield, IA
National Provider Identifier
1720095292
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01952 Issued in IA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 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 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

IdentifierTypeStateIssuer
2176507OtherNEUNITED HEALTHCARE
P00406801OtherIARAILROAD MEDICARE
37107OtherNEBLUE CROSS & BLUE SHIELD
0417634MedicaidIA

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
I20050825000729 IA Practitioner - Optometry 8426089848 Reassigns benefits to 1 organization

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
Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians

Practice addresses (Care Compare)

200 Army Post Rd
Suite 16
Des Moines, IA 50315-6203
Phone (515) 287-5565

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1167NEMDAddiction (Substance Use Disorder) Counselor
1994KSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Jun 2, 2023 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Jun 2, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.