NPIMap

Organization Active NPI

Dr. Robert H Sharp, PC

Doing business as Family Vision Center

  • Eyewear Supplier
  • Creston, IA
National Provider Identifier
1043280399
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
DR. ROBERT H SHARP, PC
Doing business as
Family Vision Center
Practice address
807 N Sumner Ave
Creston, IA 50801-1350
Phone
(641) 782-2111
Fax
(641) 782-2113
NPI assigned
Jan 26, 2006
Last updated
Jun 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Dr. Linda Thomsen, ODNPI 1699746719
Title
Owner
Phone
(641) 782-2111

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

807 N Sumner Ave
Creston, IA 50801-1350

Mailing address

PO Box 323
Creston, IA 50801-0323
Phone (641) 782-2111

Other identifiers 1

IdentifierTypeStateIssuer
0446369MedicaidIA

Other names 1

  • Family Vision Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040218000976 IA Part B Supplier - Clinic/Group Practice 5092600023 Receives reassigned benefits from 6 practitioners
4 other NPIs on this enrollment
Practice locations: Red Oak, IA; Mt Ayr, IA; Creston, IA; Corning, IA; Atlantic, IA; Greenfield, IA

Other NPIs on the same Medicare enrollment 4

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

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Family Vision Center - Creston807 N Sumner Ave, Creston, IA 50801-1350(641) 782-2111 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 28, 2020

National Provider Directory

National Provider Directory

Locations

807 N Sumner Ave
Creston, IA 50801
Phone (515) 222-6400

Practitioners & affiliated clinicians

Practitioners 6

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": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1043280399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508010323",
            "telephone_number": "641-782-2111",
            "fax_number": "641-782-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N SUMNER AVE",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508011350",
            "telephone_number": "641-782-2111",
            "fax_number": "641-782-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT H SHARP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "THOMSEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-782-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446369",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.