Individual provider Active NPI

Kirk L Meints, OD

  • Optometrist
  • Indianola, IA
National Provider Identifier
1821072265
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01850 Issued in IA
Practice address
105 N Buxton St
Indianola, IA 50125-2412
Phone
(515) 961-2515
NPI assigned
Nov 30, 2005
Last updated
Jan 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 01850 IA Primary

Addresses

Primary practice location

105 N Buxton St
Indianola, IA 50125-2412

Mailing address

105 N Buxton St
Indianola, IA 50125-2412
Phone (515) 961-2515

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
I20080508000504 IA Practitioner - Optometry 1658450119 Reassigns benefits to 1 organization
Practice locations: Clive, IA; Des Moines, IA; Indianola, IA; Ottumwa, IA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Real Optics IncGroup PAC ID 9830218122, 6 clinicians

Practice addresses (Care Compare)

105 N Buxton St
Indianola, IA 50125-2412
Phone (515) 961-2515

2405 Ingersoll Ave
Des Moines, IA 50312-5233
Phone (515) 244-7740

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01850IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Real Optics Inc CurrentSince Oct 1, 2022 Accepting new patients
Real Optics Inc Past Accepting new patients
Real Optics Inc Past Accepting new patients
Real Optics Inc Past Accepting new patients

Locations

9749 University Ave
Des Moines, IA 50325
Phone (515) 223-5000

2405 Ingersoll Ave
Des Moines, IA 50312
Phone (515) 244-2338

105 N Buxton St
Indianola, IA 50125
Phone (515) 961-2515

Organizations & group practices 4

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1821072265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N BUXTON ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252412",
            "telephone_number": "515-961-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N BUXTON ST",
            "city": "INDIANOLA",
            "state": "IA",
            "postal_code": "501252412",
            "telephone_number": "515-961-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEINTS",
        "first_name": "KIRK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianola, IA

Sources for this page

Verify at the official NPI Registry.