NPIMap

Organization Active NPI

Vision Care Clinic, P.C.

  • Optometrist
  • Sioux City, IA
National Provider Identifier
1023426533
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION CARE CLINIC, P.C.
Practice address
1909 Hamilton Blvd
Sioux City, IA 51104-4148
Phone
(712) 252-4333
NPI assigned
Jul 28, 2014
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Dr. Scott Alan Bowker, ODNPI 1891742383
Title
Co-President
Phone
(712) 263-2020

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1909 Hamilton Blvd
Sioux City, IA 51104-4148

Mailing address

2001 Hamilton Blvd
Suite D
Sioux City, IA 51104-4142
Phone (712) 252-4333

Other practice location 1

2001 Hamilton Blvd
Suite D
Sioux City, IA 51104-4142
Phone (712) 252-4333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000966 IA Part B Supplier - Clinic/Group Practice 8325931223 Receives reassigned benefits from 9 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sioux City, IA; Denison, IA; Onawa, IA; Moville, IA; Missouri Valley, IA; Manning, IA; Mapleton, IA; Council Bluffs, IA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

201 N Main St
Denison, IA 51442
Phone (712) 263-2020

402 Main St
Mapleton, IA 51034
Phone (712) 882-2020

721 10th St
Onawa, IA 51040
Phone (712) 423-2737

2001 Hamilton Blvd
Ste D
Sioux City, IA 51104
Phone (712) 252-4333

210 S 17th St
Blair, NE 68008
Phone (402) 426-2119

Practitioners & affiliated clinicians

Practitioners 7

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": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1023426533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 HAMILTON BLVD",
            "address_2": "SUITE D",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044142",
            "telephone_number": "712-252-4333",
            "fax_number": "712-252-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 HAMILTON BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511044148",
            "telephone_number": "712-252-4333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Hamilton Blvd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511044142",
            "country_code": "US",
            "telephone_number": "712-252-4333",
            "fax_number": "712-252-1633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISION CARE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BOWKER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "712-263-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.