Todd Randall Pietig, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002405 Issued in IA

Practice address

12871 University Ave
Suite 140
Clive, IA 50325-8255

Phone

(712) 830-6806

Fax

(515) 221-9196

NPI assigned

Aug 5, 2007

Last updated

Feb 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pietig Family Eyecare PLLCGroup PAC ID 4688955065, 5 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.

• Pietig Family Eyecare PLLC

  dba Ankeny Family Vision Center

  • Optometrist
  • Ankeny, IA
  • NPI 1811449978
  Medicare reassignment Care Compare group NPD
• Ankeny Family Vision Center PC

  • Optometrist
  • Ankeny, IA
  • NPI 1306056510
  NPD (past)
• Chris K Denouden, D.O., P.C.

  • Ophthalmology Physician
  • Des Moines, IA
  • NPI 1063537587
  NPD (past)
• Insight Vision

  • Optometrist
  • Clive, IA
  • NPI 1851569164
  NPD (past)
• Insight Vision Inc.

  • Optometrist
  • Marion, IA
  • NPI 1316912579
  NPD (past)
• Robb Schmidt, OD, PC

  dba Nevada Vision Clinic

  • Optometrist
  • Nevada, IA
  • NPI 1487634994
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1962693028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 SW BLUEGRASS DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238280",
            "telephone_number": "712-830-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12871 UNIVERSITY AVE",
            "address_2": "SUITE 140",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258255",
            "telephone_number": "712-830-6806",
            "fax_number": "515-221-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETIG",
        "first_name": "TODD",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3701163",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phippsburger Inc (Accessible Home Health Care of Des Moines)
• PHS Walnut Ridge LLC
• Ai Huong Phu, D.O.
• Douglas Raymond Pick, DDS
• Molly Anne Pieper
• Kate Pithan, PA-C
• Shana Plambeck
• Poeppe Expert Psychological Services PLLC
• Mark R Poeppe, PSY.D.
• Lily Pokornowski

• Optometrist in Clive, IA
• Providers in Clive, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.