Organization Active NPI

Korver Eye Care Inc

  • Optometrist
  • Sioux City, IA
National Provider Identifier
1114386232
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
IA 2181 Issued in IA
Legal business name
KORVER EYE CARE INC
Practice address
3535 Southern Hills Dr
Sioux City, IA 51106-4749
Phone
(712) 276-2323
Fax
(712) 274-9986
NPI assigned
Feb 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Mr. John Charles Korver
Title
Owner
Phone
(712) 276-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X IA 2181 IA Primary

Addresses

Primary practice location

3535 Southern Hills Dr
Sioux City, IA 51106-4749

Mailing address

3535 Southern Hills Dr
Sioux City, IA 51106-4749
Phone (712) 276-2323

Other identifiers 1

IdentifierTypeStateIssuer
0016758MedicaidIA

Other names 1

  • Korver Eye Care Former legal business name

National Provider Directory

National Provider Directory

Locations

3535 Southern Hills Dr
Sioux City, IA 51106
Phone (712) 274-1019

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1114386232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN HILLS DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064749",
            "telephone_number": "712-276-2323",
            "fax_number": "712-274-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 SOUTHERN HILLS DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064749",
            "telephone_number": "712-276-2323",
            "fax_number": "712-274-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORVER EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "KORVER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-276-2323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "IA 2181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016758",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Korver Eye Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.