Individual provider Active NPI

Erik Michael Romsdahl, O.D.

  • Vision Therapy Optometrist
  • Ankeny, IA
National Provider Identifier
1790092914
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
002511 Issued in IA
Practice address
2525 N Ankeny Blvd
Ste 109
Ankeny, IA 50023-4714
Phone
(515) 964-7541
Fax
(515) 964-7568
NPI assigned
Sep 9, 2010
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002511 IA
Pediatric Optometrist 152WP0200X 002511 IA
Vision Therapy Optometrist 152WV0400X 002511 IA Primary

Addresses

Primary practice location

2525 N Ankeny Blvd
Ste 109
Ankeny, IA 50023-4714

Mailing address

2525 N Ankeny Blvd
Ste 109
Ankeny, IA 50023-4714
Phone (515) 964-7541

Other identifiers 1

IdentifierTypeStateIssuer
1003187865MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002511IAMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Vision Center, Inc. Vision Therapy Current Accepting new patients

Locations

3105 Grand Ave
Ames, IA 50010
Phone (515) 233-1736

2525 N Ankeny Blvd
Ste 109
Ankeny, IA 50023
Phone (515) 964-7541

Interoperability endpoints

  • Direct secure messaging: drerik@cfvc.eyeclinicdirect.net

Organizations & group practices 1

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": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1790092914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N ANKENY BLVD",
            "address_2": "STE 109",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234714",
            "telephone_number": "515-964-7541",
            "fax_number": "515-964-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N ANKENY BLVD",
            "address_2": "STE 109",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234714",
            "telephone_number": "515-964-7541",
            "fax_number": "515-964-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMSDAHL",
        "first_name": "ERIK",
        "middle_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-09",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002511",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IA",
            "license": "002511",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IA",
            "license": "002511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003187865",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.