Individual provider Active NPI

Heath Kelly Eckhart, O.D.

  • Optometrist
  • Newton, IA
National Provider Identifier
1851485064
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02204 Issued in IA
Practice address
300 Iowa Speedway Dr
Newton, IA 50208-9484
Phone
(515) 724-2242
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02204 IA Primary
Corneal and Contact Management Optometrist 152WC0802X 02204 IA

Addresses

Primary practice location

300 Iowa Speedway Dr
Newton, IA 50208-9484

Mailing address

16009 Alpine Dr
Urbandale, IA 50323-2595
Phone (515) 724-2242

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
I20040610000659 IA Practitioner - Optometry 7214927888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eckhart and Wittrock, PLCGroup PAC ID 5395894901, 2 clinicians

Practice addresses (Care Compare)

6630 Mills Civic Pkwy
Unit 6120
West Des Moines, IA 50266-8371
Phone (515) 225-6447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02204IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eckhart & Wittrock, PLC Optometrist CurrentSince Jul 23, 2008 Accepting new patients

Locations

6630 Mills Civic Pkwy
Unit 6120
West Des Moines, IA 50266
Phone (515) 225-6447

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1851485064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16009 ALPINE DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232595",
            "telephone_number": "515-724-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 IOWA SPEEDWAY DR",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502089484",
            "telephone_number": "515-724-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKHART",
        "first_name": "HEATH",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02204",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IA",
            "license": "02204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IA

Sources for this page

Verify at the official NPI Registry.