CAL EDWARD WIESE (OD) – Optometrist, NPI 1356072508
Optometrist
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
503 OPTOMETRY in IA
Provider Addresses for CAL EDWARD WIESE (OD)
721 10th St
Onawa, IA 510401128
Phone: (712) 433-2020
Fax: (712) 423-1685
Type: Location
201 N Main St
Denison, IA 514421373
Phone: (712) 263-2020
Fax: (712) 263-4053
Type: Location
201 N MAIN ST
DENISON, IA 514421373
Phone: (712) 263-2020
Fax: (712) 263-4053
Type: Mailing
1909 HAMILTON BLVD
SIOUX CITY, IA 511044148
Phone: (712) 252-4333
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2023-04-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230410000411 | I | Optometry | MO | TBD |
| I20230410000536 | I | Optometry | KS | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 299 | 296 | $0 |
| 92004 | New patient complete exam of visual system | 225 | 225 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 157 | 150 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 98 | 78 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 45 | 45 | $0 |
Insurance plans in this area (ZIP 51040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | MO | |
| O P T O M E T R Y | NE | |
| O P T O M E T R Y | MN | |
| O P T O M E T R Y | FL | |
| O P T O M E T R Y | MO |
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