Active NPI
P and B Eye Care, LLC
- Durable Medical Equipment & Medical Supplies
- Waverly, IA
National Provider Identifier
1114369766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- P AND B EYE CARE, LLC
- Practice address
- 1300 10TH Avenue SW
Waverly, IA 50677-3771 - Phone
- (319) 483-5185
- Fax
- (319) 483-5184
- NPI assigned
- Jul 24, 2013
- 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
- Bridget Steere-Bollman, OD
- Title
- President
- Phone
- (319) 269-9511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1300 10TH Avenue SW
Waverly, IA 50677-3771
Mailing address
1300 10TH Avenue SW
Waverly, IA 50677-3771
Phone (319) 483-5185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130829000760 | IA | DME Supplier - Physician - Optometrist | 9436396793 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Waverly, IA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
1300 10th Ave SW
Waverly, IA 50677
Phone (319) 352-2020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728864000000",
"number": "1114369766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 10TH AVENUE SW",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506773771",
"telephone_number": "319-483-5185",
"fax_number": "319-483-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 10TH AVENUE SW",
"city": "WAVERLY",
"state": "IA",
"postal_code": "506773771",
"telephone_number": "319-483-5185",
"fax_number": "319-483-5184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P AND B EYE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-24",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "STEERE-BOLLMAN",
"authorized_official_first_name": "BRIDGET",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "319-269-9511",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waverly, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.