Organization Active NPI

Elkader Eye Care, PC

Doing business as Woodland Eye Clinic of Elkader

  • Optometrist
  • Elkader, IA
National Provider Identifier
1093867574
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1715 Issued in IA
Legal business name
ELKADER EYE CARE, PC
Doing business as
Woodland Eye Clinic of Elkader
Practice address
202 S Main St
Elkader, IA 52043-9078
Phone
(563) 245-2304
Fax
(563) 245-2392
NPI assigned
Jan 17, 2007
Last updated
Mar 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Joshua Aaron Woodland, OD
Title
Owner
Phone
(563) 875-0006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1715 IA Primary

Addresses

Primary practice location

202 S Main St
Elkader, IA 52043-9078

Mailing address

202 S Main St
Elkader, IA 52043-9078
Phone (563) 875-0006

Other names 1

  • Woodland Eye Clinic of Elkader Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elkader Eye Care PC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1093867574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S MAIN ST",
            "city": "ELKADER",
            "state": "IA",
            "postal_code": "520439078",
            "telephone_number": "563-875-0006",
            "fax_number": "563-875-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S MAIN ST",
            "city": "ELKADER",
            "state": "IA",
            "postal_code": "520439078",
            "telephone_number": "563-245-2304",
            "fax_number": "563-245-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKADER EYE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "WOODLAND",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-875-0006",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Eye Clinic of Elkader",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkader, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.