NPIMap

Organization Active NPI

CVK Corporation

Doing business as Whylie Eye Care Centers

  • Optician
  • Des Moines, IA
National Provider Identifier
1104890755
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
CVK CORPORATION
Doing business as
Whylie Eye Care Centers
Practice address
3725 Ingersoll Ave
Des Moines, IA 50312-3410
Phone
(515) 279-2020
Fax
(515) 255-8002
NPI assigned
Feb 13, 2006
Last updated
Nov 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Vincent Copple
Title
President
Phone
(515) 279-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

3725 Ingersoll Ave
Des Moines, IA 50312-3410

Mailing address

3725 Ingersoll Ave
Des Moines, IA 50312-3410
Phone (515) 279-2020

Other identifiers 2

IdentifierTypeStateIssuer
3145839MedicaidIA
45555OtherIABLUE CROSS BLUE SHIELD

Other names 1

  • Whylie Eye Care Centers Doing business as

National Provider Directory

National Provider Directory

Locations

3725 Ingersoll Ave
Des Moines, IA 50312
Phone (515) 255-5533

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1104890755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123410",
            "telephone_number": "515-279-2020",
            "fax_number": "515-255-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503123410",
            "telephone_number": "515-279-2020",
            "fax_number": "515-255-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVK CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "COPPLE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-279-2020"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3145839",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "45555",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whylie Eye Care Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.