Elizabeth Kay Groetken, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5431 Issued in SD

Practice address

16 Central Ave NE
Le Mars, IA 51031-3515

Phone

(712) 546-8998

Fax

(712) 546-8971

NPI assigned

May 22, 2006

Last updated

Oct 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dregroetken@groetkenfamilyeyecare.direct.eyemdemr.com

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.

• Halsted's PC

  dba Groetken Family Eye Care

  • Optometrist
  • Le Mars, IA
  • NPI 1578744256
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1760436802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CENTRAL AVE NE",
            "address_2": "PO BOX 706",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313515",
            "telephone_number": "712-546-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CENTRAL AVE NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313515",
            "telephone_number": "712-546-8998",
            "fax_number": "712-546-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROETKEN",
        "first_name": "ELIZABETH",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "5431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Goodlaxson, LISW
• Samantha Graham, LMHC
• Kellie Michelle Grause, RN
• Amy M Gray, RN
• Katrina Ann Grevengoed, DPT
• Rick Habeck, RPH
• Nari Danielle Hadden
• Halsted's PC (Groetken Family Eye Care)
• Arlene Hammond, LMHC
• Courtney Hansen, T-LMHC

• Optometrist in Le Mars, IA
• Providers in Le Mars, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.
• 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.