NPIMap

Riley F Uglum, OD PC

Organization Active NPI Optometrist · New Hampton, IA

NPI 1013188564 · NPPES record last updated Sep 24, 2009

Key facts

NPI
1013188564
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
1631 (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
Organization subpart
No

Authorized official

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

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

Practitioners 23

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

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IA

Medicare enrollment records

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 - Optometrist
DME Supplier - Optician		 3971641671 Practice locations: New Hampton, IA

National Provider Directory

Locations

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP		 152W00000X 1631 IA Yes
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

Other identifiers

IdentifierTypeStateIssuer
18744OtherIAMIDLAND'S CHOICE
P00470350OtherRAILROAD MEDICARE
0005199MedicaidIA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 24, 2009.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND'S CHOICE",
            "identifier": "18744",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00470350",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005199",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hampton, IA

All providers in New Hampton, IA · Optometrist in Iowa

Sources for this page

Verify at the official NPI Registry.