Vision Health Center, P.C.
Organization Active NPI Optometrist · Bellevue, IA
NPI 1043322688 · NPPES record last updated Nov 29, 2012
Key facts
- NPI
- 1043322688
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1784 (IA)
- Legal business name
- VISION HEALTH CENTER, P.C.
- Practice address
- 113 State St
Bellevue, IA 52031-1307 - Phone
- (563) 872-5975
- Fax
- (563) 872-3248
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Steven D. Sloan, OD
- Title
- Owner
- Phone
- (563) 872-5975
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Practitioners 4
-
Lucas Stephen Flamich, O.D.
-
Stephanie Sloan Flamich, O.D.
-
Steven D. Sloan, OD
-
Martha S. Smith, OD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Vision Health Center PC |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070628000637 | IA | Part B Supplier - Clinic/Group Practice | 7416056692 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bellevue, IA; Dubuque, IA |
| O20100930043426 | IA | DME Supplier - Physician - Optometrist | 7416056692 | Practice locations: Bellevue, IA |
National Provider Directory
- Tax ID family
- Vision Health Center
Locations
113 State St
Bellevue, IA 52031
Phone (563) 872-5975
103 N Riverview St
Bellevue, IA 52031
Phone (319) 872-5975
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1784 | IA | Yes |
Addresses
Primary practice location
113 State St
Bellevue, IA 52031-1307
Mailing address
113 State St
Bellevue, IA 52031-1307
Phone (563) 872-5975
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 239587 | Other | IA | MIDLANDS CHOICE |
| 0205336 | Medicaid | IA | |
| 205336 | Other | IA | WELLMARK |
Other providers in Bellevue, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.