Individual provider Active NPI

Nathaniel Woeste, OD

  • Optometrist
  • Waverly, IA
National Provider Identifier
1790416857
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
114283 Issued in IA
Practice address
1300 10TH Ave SW
Waverly, IA 50677-3771
Phone
(319) 352-2020
NPI assigned
Jun 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 114283 IA Primary

Addresses

Primary practice location

1300 10TH Ave SW
Waverly, IA 50677-3771

Mailing address

1229 1St St SE
Waverly, IA 50677-4700

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
I20221209002256 IA Practitioner - Optometry 2860861051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P and B Eye Care PLLCGroup PAC ID 9436396793, 2 clinicians

Practice addresses (Care Compare)

116 W 1St St
Sumner, IA 50674-1141
Phone (563) 233-8072

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
P and B Eye Care PLLC Optometrist CurrentSince Sep 8, 2022 Accepting new patients

Locations

116 W 1st St
Sumner, IA 50674
Phone (563) 233-8072

1500 10th Ave SW
Waverly, IA 50677
Phone (319) 352-2020

1300 10th Ave SW
Waverly, IA 50677
Phone (319) 352-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1790416857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 1ST ST SE",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506774700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 10TH AVE SW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506773771",
            "telephone_number": "319-352-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOESTE",
        "first_name": "NATHANIEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "114283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, IA

Sources for this page

Verify at the official NPI Registry.