Organization Active NPI

WJC LTD

Doing business as Looking Glass Optical

  • Optician
  • Coralville, IA
National Provider Identifier
1023187184
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
WJC LTD
Doing business as
Looking Glass Optical
Practice address
2056 8TH Street
Coralville, IA 52241-1502
Phone
(319) 338-9381
Fax
(319) 466-4662
NPI assigned
Nov 6, 2006
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Mr. Mitch James Thompson
Title
Manager Owner
Phone
(319) 338-9381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

2056 8TH Street
Coralville, IA 52241-1502

Mailing address

2056 8TH Street
Coralville, IA 52241-1502
Phone (319) 338-9381

Other identifiers 2

IdentifierTypeStateIssuer
51671OtherIABCBS OF IOWA
42253OtherIADAVIS VISION

Other names 1

  • Looking Glass Optical Doing business as

National Provider Directory

National Provider Directory

Locations

2056 8th St
Coralville, IA 52241
Phone (319) 338-9381

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1023187184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 8TH STREET",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411502",
            "telephone_number": "319-338-9381",
            "fax_number": "319-466-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 8TH STREET",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411502",
            "telephone_number": "319-338-9381",
            "fax_number": "319-466-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WJC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MITCH",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER OWNER",
        "authorized_official_telephone_number": "319-338-9381",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IOWA",
            "identifier": "51671",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "42253",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Looking Glass Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.