Active NPI
Casey Matthew Roelfs, O.D.
- Optometrist
- Boone, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02185
- Practice address
- 621 Story St
Boone, IA 50036-2833 - Phone
- (515) 432-2973
- NPI assigned
- Jan 12, 2006
- Last updated
- Jul 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02185 | IA | Primary |
Addresses
Primary practice location
621 Story St
Boone, IA 50036-2833
Mailing address
621 Story St
Boone, IA 50036-2833
Phone (515) 432-2973
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410047848 | Other | RRM RAILROAD MEDICARE | |
| 4512050001 | Other | CIGNA/DMERC | |
| 1213785 | Medicaid | IA | |
| 27547 | Other | IA | BLUE CROSS/BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
621 Story St
Boone, IA 50036-2833
Phone (515) 432-2973
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 50 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02185 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boone Vision Center LLC | Optometrist | Current | Accepting new patients |
| Nelson Opticians, Inc. | Past | Accepting new patients | |
| Boone Vision Center | Past | Accepting new patients |
Locations
2721 Stange Rd
Ste 101
Ames, IA 50010
Phone (515) 292-3718
3324 Orion Dr
Ste 2
Ames, IA 50010
Phone (515) 232-4003
621 Story St
Boone, IA 50036
Phone (515) 432-2973
Organizations & group practices 3
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.
-
- Optometrist
- Boone, IA
- NPI 1750362174
-
- Clinic/Center
- Boone, IA
- NPI 1568997435
-
- Eyewear Supplier
- Ames, IA
- NPI 1285826545
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
-
dba Boone County Family Medicine North Walk In
- Primary Care Clinic/Center
- Boone, IA
- NPI 1942664602
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1881673267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 STORY ST",
"city": "BOONE",
"state": "IA",
"postal_code": "500362833",
"telephone_number": "515-432-2973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 STORY ST",
"city": "BOONE",
"state": "IA",
"postal_code": "500362833",
"telephone_number": "515-432-2973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROELFS",
"first_name": "CASEY",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "02185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM RAILROAD MEDICARE",
"identifier": "410047848",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA/DMERC",
"identifier": "4512050001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1213785",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "27547",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boone, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.