Individual provider Active NPI

Brent A Heath, O.D.

  • Optometrist
  • Fort Dodge, IA
National Provider Identifier
1952437105
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02351 Issued in IA
Practice address
1511 1St Ave S
Fort Dodge, IA 50501-5012
Phone
(515) 955-7777
Fax
(515) 955-7082
NPI assigned
Feb 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02351 IA Primary

Addresses

Primary practice location

1511 1St Ave S
Fort Dodge, IA 50501-5012

Mailing address

1511 1St Ave S
Fort Dodge, IA 50501-5012
Phone (515) 955-7777

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
I20080731000377 IA Practitioner - Optometry 9133209349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1511 1St Ave S
Fort Dodge, IA 50501-5012
Phone (515) 955-7777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02351IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heath Family Eyecare Inc Optometrist CurrentSince Jun 14, 2007 Accepting new patients
Jeffrey S Foreman OD Optometrist PastSince Jul 1, 2008 Accepting new patients

Locations

1511 1st Ave S
Fort Dodge, IA 50501
Phone (515) 955-7777

3036 1st Ave S
Fort Dodge, IA 50501
Phone (515) 576-1982

Organizations & group practices 2

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": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1952437105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 1ST AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015012",
            "telephone_number": "515-955-7777",
            "fax_number": "515-955-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 1ST AVE S",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015012",
            "telephone_number": "515-955-7777",
            "fax_number": "515-955-7082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "BRENT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.