Family Eyecare of Winterset PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

01925 Issued in IA

Legal business name

FAMILY EYECARE OF WINTERSET PC

Practice address

102 N 1St Ave
Winterset, IA 50273-1551

Phone

(515) 462-1254

Fax

(515) 462-2895

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Joseph William Johll, O.D.

Title

Optometrist

Phone

(515) 462-1254

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Ronald A Brand, O.D.

  • Optometrist
  • Kirksville, MO
  • NPI 1164471462
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1104974476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N 1ST AVE",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502731551",
            "telephone_number": "515-462-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N 1ST AVE",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502731551",
            "telephone_number": "515-462-1254",
            "fax_number": "515-462-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE OF WINTERSET PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "JOHLL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "515-462-1254",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400155",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Edrozo, TLMHC
• James D Elliott, DDS
• John Ellis
• Allan Faidley, LISW
• Fair Family Services LLC
• Debbie Finkbeiner, HEALTH COACH
• Five Star Quality Care Ia LLC
• Anthony Wayne Flatt
• Flourish Chiropractic & Wellness PLLC
• Teri S Formanek, M.D.

• Optometrist in Winterset, IA
• Providers in Winterset, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.