Individual provider Active NPI

Brenda Sue Lovik McCardle, O.D.

  • Optometrist
  • Mason City, IA
National Provider Identifier
1831201102
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02098 Issued in IA
Practice address
4151 4TH St SW
Mason City, IA 50401-7346
Phone
(641) 423-8431
Fax
(641) 423-8433
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02098 IA Primary

Addresses

Primary practice location

4151 4TH St SW
Mason City, IA 50401-7346

Mailing address

4151 4TH St SW
Mason City, IA 50401-7346
Phone (641) 423-8431

Other identifiers 1

IdentifierTypeStateIssuer
56401OtherIABLUE CROSS & BLUE SHIELD

Other names 1

  • Dr. Brenda Sue Lovik Professional name

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
I20100811000512 IA Practitioner - Optometry 9638279409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4151 4TH St SW
Mason City, IA 50401-7346
Phone (641) 423-8431

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02098IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lovik Family Eyecare, P.C. Optometrist CurrentSince Jul 1, 2002 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

4151 4th St SW
Mason City, IA 50401
Phone (641) 423-3494

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1831201102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504017346",
            "telephone_number": "641-423-8431",
            "fax_number": "641-423-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 4TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504017346",
            "telephone_number": "641-423-8431",
            "fax_number": "641-423-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARDLE",
        "first_name": "BRENDA",
        "middle_name": "SUE LOVIK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "56401",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "LOVIK",
            "middle_name": "SUE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.