Individual provider Active NPI

Joel Aaron Westrum, O.D.

  • Optometrist
  • Stratford, IA
National Provider Identifier
1801826334
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02344 Issued in IA
Practice address
3475 Fenton Ave
Stratford, IA 50249-7574
Phone
(515) 230-7202
NPI assigned
Jul 3, 2006
Last updated
Mar 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02344 IA Primary

Addresses

Primary practice location

3475 Fenton Ave
Stratford, IA 50249-7574

Mailing address

315 E 5TH St
Des Moines, IA 50309-1916
Phone (515) 230-7202

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
I20070119000238 IA Practitioner - Optometry 9436150331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westrum Optometry PLCGroup PAC ID 6608877501, 2 clinicians

Practice addresses (Care Compare)

315 E 5TH St
Des Moines, IA 50309-1916
Phone (515) 282-5005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02344IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Westrum Optometry PLC Optometrist CurrentSince Nov 1, 2010 Accepting new patients

Locations

315 E 5th St
Des Moines, IA 50309
Phone (515) 282-5005

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1801826334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E 5TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091916",
            "telephone_number": "515-230-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 FENTON AVE",
            "city": "STRATFORD",
            "state": "IA",
            "postal_code": "502497574",
            "telephone_number": "515-230-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTRUM",
        "first_name": "JOEL",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, IA

Sources for this page

Verify at the official NPI Registry.