Korth Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

073496 Issued in IA

Legal business name

KORTH EYE CARE LLC

Practice address

2135 SE Delaware Ave
Ankeny, IA 50021-4592

Phone

(515) 964-0444

NPI assigned

Sep 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Joy Korth, O.D.NPI 1013349869

Title

Optometrist

Phone

(605) 521-5566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

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

• Amanda Joy Korth, OD

  • Optometrist
  • West Union, IA
  • NPI 1013349869
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1033588397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 330TH ST",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504368006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 SE DELAWARE AVE",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214592",
            "telephone_number": "515-964-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORTH EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "KORTH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "605-521-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "073496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Kofoot
• Benjamin Kohler, DC
• Benjamin John Kolars
• Daniel C. Koos, M.D.
• Katelyn Koppes
• Haris Kovacevic, LMSW
• KP Enterprises Iowa
• KP Enterprises Iowa
• Nancy Irene Kragel
• Cody Michael Kramer, PT, DPT

• Optometrist in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.