Individual provider Active NPI

Scott A Bowker, OD

  • Optometrist
  • Denison, IA
National Provider Identifier
1891742383
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02117 Issued in IA
Practice address
210 N Main St
Denison, IA 51442-0399
Phone
(712) 263-2020
Fax
(712) 263-4053
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02117 IA Primary

Addresses

Primary practice location

210 N Main St
Denison, IA 51442-0399

Mailing address

201 N Main St
Box 399
Denison, IA 51442-0399
Phone (712) 263-2020

Other identifiers 4

IdentifierTypeStateIssuer
0218339MedicaidIA
18020OtherIAWELLMARK
421497917OtherIACOMMERCIAL & OTHER STATES
A004235OtherIACHAMPUS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060313000729 IA Practitioner - Optometry 1052328341 Reassigns benefits to 1 organization
I20080510000041 NE Practitioner - Optometry 1052328341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Care Clinic PCGroup PAC ID 8325931223, 7 clinicians

Practice addresses (Care Compare)

201 N Main St
Denison, IA 51442-1373
Phone (712) 263-2020

210 S 17TH St
Blair, NE 68008-2055
Phone (402) 426-2119

Merit-based Incentive Payment System (MIPS)

Final score
93.48 of 100Reported as individual
Quality
86.96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1113NEMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Care Clinic PC Optometrist Current Accepting new patients
Vision Care Clinic PC Optometrist CurrentSince Dec 24, 2009 Accepting new patients
Vision Care Clinic, P.C. Optometrist Past Accepting new patients
Vision Care Clinic PC Optometrist Past Accepting new patients
Vision Care Clinic PC Optometrist Past Accepting new patients
Vision Care Clinic PC Optometrist Past Accepting new patients
Vision Care Clinic PC Optometrist Past Accepting new patients

Locations

200 S 29th St
Council Bluffs, IA 51501
Phone (712) 322-7912

201 N Main St
Denison, IA 51442
Phone (712) 263-2020

201 N Main St
#399
Denison, IA 51442
Phone (712) 263-2020

320 Main St
Manning, IA 51455
Phone (712) 655-2020

324 Main St
Manning, IA 51455
Phone (712) 655-2020

402 Main St
Mapleton, IA 51034
Phone (712) 882-2020

308 E Erie St
Mo Valley, IA 51555
Phone (712) 642-4146

721 10th St
Onawa, IA 51040
Phone (712) 423-2737

1909 Hamilton Blvd
Sioux City, IA 51104
Phone (712) 252-4333

210 S 17th St
Blair, NE 68008
Phone (402) 426-2119

Interoperability endpoints

  • Direct secure messaging: scott.bowker@direct.revolutionehr.com

Organizations & group practices 8

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1891742383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "address_2": "BOX 399",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514420399",
            "telephone_number": "712-263-2020",
            "fax_number": "712-263-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MAIN ST",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514420399",
            "telephone_number": "712-263-2020",
            "fax_number": "712-263-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWKER",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218339",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "18020",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL & OTHER STATES",
            "identifier": "421497917",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A004235",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, IA

Sources for this page

Verify at the official NPI Registry.