Organization Active NPI

Riley F Uglum, OD PC

  • Optometrist
  • New Hampton, IA
National Provider Identifier
1013188564
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1631 Issued in IA
Legal business name
RILEY F UGLUM, OD PC
Practice address
8 E Spring St
New Hampton, IA 50659-2132
Phone
(641) 394-2326
Fax
(641) 394-2211
NPI assigned
Mar 12, 2008
Last updated
Sep 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Authorized official

Name
Dr. Riley F Uglum, ODNPI 1629083449
Title
President
Phone
(641) 394-2326

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1631 IA Primary
Durable Medical Equipment & Medical Supplies 332B00000X 1631 IA

Addresses

Primary practice location

8 E Spring St
New Hampton, IA 50659-2132

Mailing address

PO Box 470
New Hampton, IA 50659-0470
Phone (641) 394-2326

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091118000297 IA Part B Supplier - Clinic/Group Practice 3971641671 Receives reassigned benefits from 2 practitioners
Practice locations: New Hampton, IA
O20100930037582 IA DME Supplier - Physician - OptometristDME Supplier - Optician 3971641671 Practice locations: New Hampton, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eye Care Associates8 E Spring St, New Hampton, IA 50659-2132(641) 394-2326 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory

Locations

8 E Spring St
New Hampton, IA 50659
Phone (641) 394-2326

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1013188564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "city": "NEW HAMPTON",
            "state": "IA",
            "postal_code": "506590470",
            "telephone_number": "641-394-2326",
            "fax_number": "641-394-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E SPRING ST",
            "city": "NEW HAMPTON",
            "state": "IA",
            "postal_code": "506592132",
            "telephone_number": "641-394-2326",
            "fax_number": "641-394-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RILEY F UGLUM, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "UGLUM",
        "authorized_official_first_name": "RILEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-394-2326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1631",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "1631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hampton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.