Independent Optical Dispensary,Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

INDEPENDENT OPTICAL DISPENSARY,INC.

Practice address

106 S 4TH St
Clinton, IA 52732-4425

Phone

(563) 243-1650

NPI assigned

Mar 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Stanley E. Dierks

Title

Certified Optician

Phone

(563) 243-1650

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1043482656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324425",
            "telephone_number": "563-243-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S 4TH ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324425",
            "telephone_number": "563-243-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT OPTICAL DISPENSARY,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "DIERKS",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CERTIFIED OPTICIAN",
        "authorized_official_telephone_number": "563-243-1650",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Huber, LMHC
• Maggie May Huling
• Elizabeth Hunter, MOT, OTR/L
• Erika Lynn Hunter
• Hy-Vee Inc
• William L Ingram III, MD
• Integrated Muscle & Spine Chiropractic Clinic Inc
• Iowa Dermatology Institute, P.C.
• Iowa Emergency Services LLC
• Susan Diann Irey, DDS

• Eyewear Supplier in Clinton, IA
• Providers in Clinton, IA by specialty
• Eyewear Supplier in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.