Katelyn Jean Kudrna, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

126445 Issued in IA

Practice address

105 Gaul Dr
Sergeant Bluff, IA 51054-8973

Phone

(712) 943-9400

Fax

(712) 943-9403

NPI assigned

May 20, 2024

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, NE2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hawkeye Clinic of Sergeant Bluff PCGroup PAC ID 6709978349, 4 clinicians

Wayne Eye Care PCGroup PAC ID 8729342423, 3 clinicians

Hawkeye Clinic of Marcus PCGroup PAC ID 8628337078, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hawkeye Clinic of Marcus, PC

  dba Marcus Eyecare

  • Optometrist
  • Marcus, IA
  • NPI 1003320706
  Medicare reassignment Care Compare group NPD
• Wayne Eye Care PC

  dba Sergeant Bluff Eyecare

  • Optometrist
  • Wayne, NE
  • NPI 1699277855
  Medicare reassignment Care Compare group NPD
• Hawkeye Clinic of Sergeant Bluff, PC

  • Optometrist
  • Sergeant Bluff, IA
  • NPI 1497948616
  NPD
• Le Mars Eye Care , PC

  dba LeMars Eye Care

  • Optometrist
  • Le Mars, IA
  • NPI 1952923609
  NPD (past)

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1871332973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GAUL DR",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510548973",
            "telephone_number": "712-943-9400",
            "fax_number": "712-943-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GAUL DR",
            "city": "SERGEANT BLUFF",
            "state": "IA",
            "postal_code": "510548973",
            "telephone_number": "712-943-9400",
            "fax_number": "712-943-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDRNA",
        "first_name": "KATELYN",
        "middle_name": "JEAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "126445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jiwa Chiropractic & Wellness
• JP Senior Healthcare LLC (Pioneer Valley Living and Rehab Center)
• Kismet Sux LLC (WEL-Home Health Sergeant Bluff)
• Kismet Sux LLC (Embassy Rehab and Care Center)
• Bonnie Sue Knutson, PTA
• Kyle F Richards PC (Richards Counseling & Consulting)
• Lisa Marie Lauters, RPH
• Tyler Dean Lefeber, OD
• Level Spine Chiropractic PC (Level Spine Chiropractic)
• Cynthia S. Lewin, ARNP

• Optometrist in Sergeant Bluff, IA
• Providers in Sergeant Bluff, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.