Active NPI
Parkway Optical Inc
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
National Provider Identifier
1053465260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PARKWAY OPTICAL INC
- Practice address
- 2101 Westown Pkwy
West Des Moines, IA 50265-1596 - Phone
- (515) 225-6980
- Fax
- (515) 225-8031
- NPI assigned
- Jan 23, 2007
- 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
- Mr. Kenneth E Tatro
- Title
- President
- Phone
- (515) 225-6980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2101 Westown Pkwy
West Des Moines, IA 50265-1596
Mailing address
2101 Westown Pkwy
West Des Moines, IA 50265-1596
Phone (515) 225-6980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930013681 | IA | DME Supplier - Optician | 8022135953 | Practice locations: West Des Moines, IA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Parkway Optical | Prosthetic Lenses: Conventional Eyeglasses | Does not accept assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199923200000",
"number": "1053465260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 WESTOWN PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502651596",
"telephone_number": "515-225-6980",
"fax_number": "515-225-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 WESTOWN PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502651596",
"telephone_number": "515-225-6980",
"fax_number": "515-225-8031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKWAY OPTICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2008-01-10",
"status": "A",
"authorized_official_last_name": "TATRO",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "515-225-6980",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.