Individual provider Active NPI

John C Kortenber, OD

  • Optometrist
  • Algona, IA
National Provider Identifier
1821049586
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2002014339 Issued in MO
Practice address
112 N Thorington St
Algona, IA 50511-2614
Phone
(515) 395-3937
Fax
(515) 395-3938
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2002014339 MO Primary

Addresses

Primary practice location

112 N Thorington St
Algona, IA 50511-2614

Mailing address

112 N Thorington St
Algona, IA 50511-2614
Phone (515) 395-3937

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
I20060601000041 IA Practitioner - Optometry 9032154182 Reassigns benefits to 2 organizations
Practice locations: Spencer, IA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 N Thorington St
Algona, IA 50511-2614
Phone (515) 395-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2002014339MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince Mar 1, 2026 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Mar 1, 2026 Accepting new patients
John C. Kortenber Optometry PC Optometrist CurrentSince Nov 1, 2005 Accepting new patients

Locations

112 N Thorington St
Algona, IA 50511
Phone (515) 395-3937

1534 28th Ave N
Fort Dodge, IA 50501
Phone (515) 573-1145

1534 28th Ave N
#515
Fort Dodge, IA 50501
Phone (515) 573-1145

500 11th St SW
Spencer, IA 51301
Phone (712) 262-5011

Organizations & group practices 3

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1821049586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N THORINGTON ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505112614",
            "telephone_number": "515-395-3937",
            "fax_number": "515-395-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N THORINGTON ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505112614",
            "telephone_number": "515-395-3937",
            "fax_number": "515-395-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTENBER",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2002014339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algona, IA

Sources for this page

Verify at the official NPI Registry.