Individual provider Active NPI

Kaila Cynthia Egan, O.D.

  • Optometrist
  • Waterloo, IA
National Provider Identifier
1851739213
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002596 Issued in IA
Practice address
220 W Ridgeway Ave Ste 106
Waterloo, IA 50701-4200
Phone
(319) 236-2020
NPI assigned
Jun 7, 2013
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002596 IA Primary

Addresses

Primary practice location

220 W Ridgeway Ave Ste 106
Waterloo, IA 50701-4200

Mailing address

220 W Ridgeway Ave Ste 106
Waterloo, IA 50701-4200
Phone (319) 236-2020

Other identifiers 1

IdentifierTypeStateIssuer
IB2898001MedicaidIA

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
I20131108001875 IA Practitioner - Optometry 7517192073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 W Ridgeway Ave
Waterloo, IA 50701-4200
Phone (319) 236-2020

918 Decathlon Dr
Waterloo, IA 50701-3441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002596IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaila Egan O.D., PLLC Optometrist CurrentSince Aug 23, 2013 Accepting new patients

Locations

220 W Ridgeway Ave
Ste 106
Waterloo, IA 50701
Phone (319) 226-4400

918 Decathlon Dr
Waterloo, IA 50701
Phone (319) 236-2020

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, 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": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851739213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W RIDGEWAY AVE STE 106",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014200",
            "telephone_number": "319-236-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W RIDGEWAY AVE STE 106",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014200",
            "telephone_number": "319-236-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KAILA",
        "middle_name": "CYNTHIA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IB2898001",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.