Domino Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

002438 Issued in IA

Legal business name

DOMINO EYE CARE, PLLC

Practice address

2510 SW White Birch Dr Ste 5
Ankeny, IA 50023-7171

Phone

(515) 964-5427

Fax

(515) 964-3277

NPI assigned

Aug 30, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa G Domino, ODNPI 1124283767

Title

Owner

Phone

(515) 964-5427

Specialties & licenses 1

Addresses

Locations

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.

• Lisa G Domino, O.D.

  • Optometrist
  • Ankeny, IA
  • NPI 1124283767
  NPD Authorized official
• Sara Denise Khan, OD

  • Optometrist
  • Ankeny, IA
  • NPI 1124389291
  NPD

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033637079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 SW WHITE BIRCH DR STE 5",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237171",
            "telephone_number": "515-964-5427",
            "fax_number": "515-964-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 SW WHITE BIRCH DR STE 5",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237171",
            "telephone_number": "515-964-5427",
            "fax_number": "515-964-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINO EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOMINO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-964-5427",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Dighton
• Jessica Eileen Rhodes Dimmick, AUD
• Kylee Dirks
• Averie Dobson
• Eli Owlynne Dohrn, TLMHC
• Lisa G Domino, O.D.
• Archie Mae Donahue-Kleffman, MS, T-LMHC
• Michael Donahue, M.ED., ATC, LAT
• Brad Dondlinger, RPH
• Carissa Donner, 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 Jul 21, 2022; 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.