Organization Active NPI

Precision Eye Care LLC

  • Optometrist
  • Independence, IA
National Provider Identifier
1063074680
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PRECISION EYE CARE LLC
Practice address
1310 1St St W
Independence, IA 50644-2316
Phone
(319) 334-6087
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Brad Boyle, OD
Title
Optometrist
Phone
(641) 295-1089

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X

Addresses

Primary practice location

1310 1St St W
Independence, IA 50644-2316

Mailing address

1129 E Seerley Blvd
Cedar Falls, IA 50613-5207
Phone (641) 295-1089

Other practice location 1

622 Progress Ave Ste 2
Waterloo, IA 50701-3107
Phone (319) 266-6219

Other names 1

  • Advanced Family Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190923002047 IA Part B Supplier - Clinic/Group Practice 6204166978 Receives reassigned benefits from 4 practitioners
Practice locations: Independence, IA; Waterloo, IA

National Provider Directory

National Provider Directory

Locations

2000 Swan Lake Blvd
Ste 1
Independence, IA 50644

2000 Swan Lake Blvd
Ste A
Independence, IA 50644
Phone (319) 334-6087

622 Progress Ave
Ste B
Waterloo, IA 50701

622 Progress Ave
Ste 2
Waterloo, IA 50701
Phone (319) 266-6219

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1063074680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 E SEERLEY BLVD",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506135207",
            "telephone_number": "641-295-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 1ST ST W",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506442316",
            "telephone_number": "319-334-6087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Progress Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507013107",
            "country_code": "US",
            "telephone_number": "319-266-6219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRECISION EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "641-295-1089",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.

Verify at the official NPI Registry.