MICHAEL L KORTHALS
NPI 1679767339
Optometrist in Mason City, IA

Active since September 05, 2007
422 S PIERCE AVE STE 100A, MASON CITY, IA 50401(641) 424-0780(641) 424-2345 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael L Korthals NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL L KORTHALS (NPI 1679767339) is a healthcare organization registered as an optometrist in Mason City, Iowa and active in the NPI registry since September 2007. The organization lists Mike L Korthals, Owner, as its authorized official.

NPPES Registry Identity

NPI1679767339
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCLEAR LAKE OPTICS CORP
Location Address422 S PIERCE AVE STE 100AMason City, IA 50401-2709
Mailing Address422 S Pierce Ave Ste 100aMason City, IA 50401-2709 · (641) 424-0780 · Fax (641) 424-2345
Fax(641) 424-2345
Organization SubpartNo
Authorized OfficialMike L KorthalsOwner · (641) 424-0780
Enumeration DateSeptember 5, 2007
Last NPPES UpdateDecember 14, 2023
NPPES CertifiedDecember 14, 2023
✔ NPI 1679767339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IA · 02146
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
422 S PIERCE AVE STE 100A, Mason City, IA 50401

Other Names 1

Doing Business AsMichael L Korthals

Other Identifiers 3

OtherDB8928IA · Railroad Medicare
Medicaid1204016IA
Other35096IA · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael L Korthals is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIowaEnrollment IDO20100930047496DME · Physician - OptometristDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Michael L Korthals, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1407880883
422 S PIERCE AVE
Mason City, IA 50401
(641) 424-0780
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1255781068
1310 1ST ST W
Independence, IA 50644
(319) 334-6087
✔ PECOS✔ Accepts Medicare81 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Dr Korthals And Associates carries, from the Medicare DMEPOS supplier directory.

Dr Korthals And Associates

DMEPOS supplier · Mason City, IAOperated by Clear Lake Optics Corp
✔

Accepts Medicare assignment

Dr Korthals And Associates agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20587379
Medicare Participant SinceJuly 29, 2004
Supplier Location422 S Pierce Ave Ste 1Mason City, IA 50401
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clear Lake Optics Corp's NPI number?

The NPI number for Clear Lake Optics Corp is 1679767339. It was assigned to this organization in the NPPES registry on September 5, 2007. The provider is doing business as Michael L Korthals.

Where is Clear Lake Optics Corp located?

Clear Lake Optics Corp is located at 422 S Pierce Ave Ste 100A, Mason City, IA 50401. The listed phone number is (641) 424-0780.

What is Clear Lake Optics Corp's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Clear Lake Optics Corp enrolled in Medicare?

Yes. Clear Lake Optics Corp is registered in the Medicare PECOS enrollment system.

When is Clear Lake Optics Corp's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Iowa, Physician - Optometrist) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Clear Lake Optics Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Clear Lake Optics Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clear Lake Optics Corp accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Dr Korthals And Associates accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Clear Lake Optics Corp accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company list Clear Lake Optics Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clear Lake Optics Corp was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.