20/20 Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

002405 Issued in IA

Legal business name

20/20 EYE CARE LLC

Practice address

5405 Mills Civic Pkwy
West Des Moines, IA 50266-5303

Phone

(515) 223-6207

NPI assigned

Jun 25, 2009

Organization subpart

No

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

Authorized official

Name

Todd Pietig, O.D.

Title

Optometrist

Phone

(515) 440-4662

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1124256409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 MILLS CIVIC PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665303",
            "telephone_number": "515-223-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 MILLS CIVIC PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665303",
            "telephone_number": "515-223-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20/20 EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-25",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "PIETIG",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "515-440-4662",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; 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.