Individual provider Active NPI

John P Ferrell, OD

  • Optometrist
  • Webster City, IA
National Provider Identifier
1831181668
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02089 Issued in IA
Practice address
1620 Superior St
Unit 3
Webster City, IA 50595-2913
Phone
(515) 832-2401
NPI assigned
Aug 18, 2005
Last updated
Mar 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 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 02089 IA Primary

Addresses

Primary practice location

1620 Superior St
Unit 3
Webster City, IA 50595-2913

Mailing address

309 E Church St
Marshalltown, IA 50158-2946

Other identifiers 1

IdentifierTypeStateIssuer
410047715OtherIARAILROAD MEDICARE

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
I20100803000899 IA Practitioner - Optometry 9830222439 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

616 N 8TH St
Osage, IA 50461-1456
Phone (641) 732-6000

620 N 8TH St
Osage, IA 50461-1456
Phone (641) 732-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02089IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell County Memorial Hospital CurrentSince Aug 1, 2021 Accepting new patients
Mitchell County Memorial Hospital CurrentSince Aug 1, 2021 Accepting new patients
American Eyecare PC Optometrist Past Accepting new patients
American Eyecare PC Optometrist Past Accepting new patients
American Eyecare PC Optometrist Past Accepting new patients

Locations

616 N 8th St
Osage, IA 50461
Phone (641) 732-6000

620 N 8th St
Osage, IA 50461
Phone (641) 732-6100

Organizations & group practices 6

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1831181668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 SUPERIOR ST",
            "address_2": "UNIT 3",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952913",
            "telephone_number": "515-832-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410047715",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster City, IA

Sources for this page

Verify at the official NPI Registry.