NPIMap

Organization Active NPI

Real Optics Inc

Doing business as Vogue Vision, Eyemart Optical

  • Eyewear Supplier
  • Des Moines, IA
National Provider Identifier
1003970344
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
REAL OPTICS INC
Doing business as
Vogue Vision, Eyemart Optical
Practice address
2405 Ingersoll Ave
Des Moines, IA 50312-5233
Phone
(515) 244-7740
Fax
(515) 244-6354
NPI assigned
Dec 21, 2006
Last updated
Oct 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Mr. Isak Sivi
Title
Employer
Phone
(515) 244-7740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2405 Ingersoll Ave
Des Moines, IA 50312-5233

Mailing address

2405 Ingersoll Ave
Des Moines, IA 50312-5233
Phone (515) 244-7740

Other identifiers 1

IdentifierTypeStateIssuer
2914013MedicaidIA

Other names 1

  • VOGUE VISION, EYEMART OPTICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930015005 IA DME Supplier - Optician 9830218122 Practice locations: Des Moines, IA
O20200723000363 IA Part B Supplier - Clinic/Group Practice 9830218122 Receives reassigned benefits from 7 practitioners
Practice locations: Des Moines, IA

National Provider Directory

National Provider Directory
Tax ID family
Vogue Vision Center22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

2405 Ingersoll Ave
Des Moines, IA 50312
Phone (515) 244-2338

2472 E Euclid Ave
Des Moines, IA 50317
Phone (515) 262-7555

9749 University Ave
Des Moines, IA 50325
Phone (515) 223-5000

1141 N Quincy Ave
Ottumwa, IA 52501

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1003970344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125233",
            "telephone_number": "515-244-7740",
            "fax_number": "515-244-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125233",
            "telephone_number": "515-244-7740",
            "fax_number": "515-244-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL OPTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "SIVI",
        "authorized_official_first_name": "ISAK",
        "authorized_official_title_or_position": "EMPLOYER",
        "authorized_official_telephone_number": "515-244-7740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2914013",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VOGUE VISION, EYEMART OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.