MR. BRUCE RICHARD LANDIS (OD) – Optometrist, NPI 1154318772

MR. BRUCE RICHARD LANDIS (OD) is a healthcare provider. based in Elkader, Iowa. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1715 (IA). The NPI Number for MR. BRUCE RICHARD LANDIS (OD) is 1154318772

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRUCE RICHARD LANDIS (OD)
NPI
1154318772
Phone
(563) 245-2304
Address
202 S MAIN ST
Enumeration Date
29 September 2005
Last Update Date
13 August 2008

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
5632452304
Graduation Year
1980 (46 years ago)
PAC ID
8224927173
Group Practice PAC ID
4486883998
Professional Enrollment ID
I20050118000513
Address ID
IA520439078EL202XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

Loading map...

Provider Addresses for MR. BRUCE RICHARD LANDIS (OD)

  • Elkader Eye Clinic, 202, South Main Street, Elkader, Clayton County, Iowa, 52043, United States

    PO BOX 100

    ELKADER, IA 520430100

    Phone: (563) 245-2304

    Fax: (563) 245-2392

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050118000513IOptometryIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52043)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486883998View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows MR. BRUCE RICHARD LANDIS (OD) across health systems?
The NPI 1154318772 uniquely identifies MR. BRUCE RICHARD LANDIS (OD) in U.S. healthcare data.
Does the public listing show MR. BRUCE RICHARD LANDIS (OD) as active?
MR. BRUCE RICHARD LANDIS (OD)'s NPI record reflects an active status in NPPES.
What type of care does MR. BRUCE RICHARD LANDIS (OD) provide?
MR. BRUCE RICHARD LANDIS (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to MR. BRUCE RICHARD LANDIS (OD)?
The directory associates MR. BRUCE RICHARD LANDIS (OD) with Elkader, Iowa. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

Elkader Eye Clinic, 202, South Main Street, Elkader, Clayton County, Iowa, 52043, United States
NPI: 1093867574
PO BOX 100
NPI: 1871637736
819 9TH ST SE
NPI: 1780444224