Active NPI
Precision Eye Care LLC
- Optometrist
- Independence, IA
National Provider Identifier
1063074680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Vision Therapy Optometrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Independence, IA
- NPI 1255781068
-
- Optometrist
- Cedar Rapids, IA
- NPI 1194837823
-
- Optometrist
- Independence, IA
- NPI 1760582308
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.