Active NPI
Fuerste Eye Clinic
- Eyewear Supplier
- Dubuque, IA
National Provider Identifier
1043282148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- FUERSTE EYE CLINIC
- Practice address
- 2140 JFK Rd
Ste F
Dubuque, IA 52002-3883 - Phone
- (563) 582-7167
- Fax
- (563) 582-5772
- NPI assigned
- Feb 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gretchen Fuerste, MD
- Title
- Vice-President
- Phone
- (563) 582-7167
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
2140 JFK Rd
Ste F
Dubuque, IA 52002-3883
Mailing address
2140 JFK Rd
Ste F
Dubuque, IA 52002-3883
Phone (563) 582-7167
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10510 | Other | IA | BCBS ID NUMBER |
Other names 1
- Fuerste Optical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930004460 | IA | DME Supplier - Physician - Ophthalmology | 0941198063 | Practice locations: Dubuque, IA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Fuerste Optical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Dubuque, IA
- NPI 1255301875
Locations
2140 John F Kennedy Rd
Dubuque, IA 52002
Phone (563) 582-0769
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDFFBA
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Dubuque, IA
- NPI 1497735260
-
- Optometrist
- Dubuque, IA
- NPI 1659910453
-
- Surgical Technologist
- Dubuque, IA
- NPI 1093785529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424736000000",
"number": "1043282148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 JFK RD",
"address_2": "STE F",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520023883",
"telephone_number": "563-582-7167",
"fax_number": "563-582-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 JFK RD",
"address_2": "STE F",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520023883",
"telephone_number": "563-582-7167",
"fax_number": "563-582-5772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUERSTE EYE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2015-02-24",
"status": "A",
"authorized_official_last_name": "FUERSTE",
"authorized_official_first_name": "GRETCHEN",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "563-582-7167",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID NUMBER",
"identifier": "10510",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fuerste Optical",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.