OPTOMETRIC CENTER OF CHARLES CITY PC
NPI 1972596732
Optometrist in Charles City, IA

Active since August 26, 2005
800 CLARK ST, CHARLES CITY, IA 50616(641) 228-1732(641) 228-2434 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Optometric Center Of Charles City Pc NPPES

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

OPTOMETRIC CENTER OF CHARLES CITY PC (NPI 1972596732) is a healthcare organization registered as an optometrist in Charles City, Iowa and active in the NPI registry since August 2005. The organization lists Bradley Jason Ellingson, President, as its authorized official.

NPPES Registry Identity

NPI1972596732
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameOPTOMETRIC CENTER OF CHARLES CITY PC
Location Address800 CLARK STCharles City, IA 50616-2218
Mailing Address800 Clark StCharles City, IA 50616-2218 · (641) 228-1732 · Fax (641) 228-2434
Fax(641) 228-2434
Organization SubpartNo
Authorized OfficialBradley Jason EllingsonPresident · (641) 228-1732
Enumeration DateAugust 26, 2005
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1972596732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
800 CLARK ST, Charles City, IA 50616

Other Identifiers 1

Medicaid0458463IA

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

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)

Optometric Center Of Charles City Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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 IDO20100930050490DME · Physician - OptometristDue dateMarch 31, 2027
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 Optometric Center Of Charles City PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1598102600
800 CLARK ST
Charles City, IA 50616
(641) 228-1732
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1568455319
800 CLARK ST
Charles City, IA 50616
(641) 228-1732
✔ PECOS✔ Accepts MedicareSame address

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 The Optometric Center Of Charles Ci carries, from the Medicare DMEPOS supplier directory.

The Optometric Center Of Charles Ci

DMEPOS supplier · Charles City, IAOperated by Optometric Center Of Charles City PC
✔

Accepts Medicare assignment

The Optometric Center Of Charles Ci 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)20637803
Medicare Participant SinceJanuary 1, 1998
Supplier Location800 Clark StCharles City, IA 50616
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 Optometric Center Of Charles City PC's NPI number?

The NPI number for Optometric Center Of Charles City PC is 1972596732. It was assigned to this organization in the NPPES registry on August 26, 2005.

Where is Optometric Center Of Charles City PC located?

Optometric Center Of Charles City PC is located at 800 Clark St, Charles City, IA 50616. The listed phone number is (641) 228-1732.

What is Optometric Center Of Charles City PC's specialty?

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

Is Optometric Center Of Charles City PC enrolled in Medicare?

Yes. Optometric Center Of Charles City PC is registered in the Medicare PECOS enrollment system.

When is Optometric Center Of Charles City PC'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 March 31, 2027. 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 Optometric Center Of Charles City PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Optometric Center Of Charles City PC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Optometric Center Of Charles City PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, The Optometric Center Of Charles Ci accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Optometric Center Of Charles City PC was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.