Organization Active NPI

Child and Family Vision Center, Inc.

  • Vision Therapy Optometrist
  • Ankeny, IA
National Provider Identifier
1003187865
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
002511 Issued in IA
Legal business name
CHILD AND FAMILY VISION CENTER, INC.
Practice address
2525 N Ankeny Blvd
Ste. 109
Ankeny, IA 50023-4708
Phone
(515) 964-7541
Fax
(515) 964-7568
NPI assigned
Jan 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Dr. Erik M Romsdahl, O.D.NPI 1790092914
Title
Owner
Phone
(515) 450-1869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X 002511 IA Primary

Addresses

Primary practice location

2525 N Ankeny Blvd
Ste. 109
Ankeny, IA 50023-4708

Mailing address

2525 N Ankeny Blvd
Ste. 109
Ankeny, IA 50023-4708
Phone (515) 964-7541

Other identifiers 1

IdentifierTypeStateIssuer
1003187865MedicaidIA

National Provider Directory

National Provider Directory

Locations

3105 Grand Ave
Ames, IA 50010
Phone (515) 233-1736

2525 N Ankeny Blvd
Ste 109
Ankeny, IA 50023
Phone (515) 964-7541

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1003187865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N ANKENY BLVD",
            "address_2": "STE. 109",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234708",
            "telephone_number": "515-964-7541",
            "fax_number": "515-964-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N ANKENY BLVD",
            "address_2": "STE. 109",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234708",
            "telephone_number": "515-964-7541",
            "fax_number": "515-964-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "ROMSDAHL",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-450-1869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "IA",
            "license": "002511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003187865",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.