Organization Active NPI

Blake Franzeen O.D.

  • Optometrist
  • Grimes, IA
National Provider Identifier
1144539172
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2224 Issued in IA
Legal business name
BLAKE FRANZEEN O.D.
Practice address
2150 E 1St St
Grimes, IA 50111-7606
Phone
(515) 986-9351
Fax
(515) 986-9476
NPI assigned
Sep 24, 2010
Last updated
Sep 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Dr. Blake Brandon Franzeen, O.D.NPI 1043280977
Title
Owner
Phone
(515) 986-9351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2224 IA Primary

Addresses

Primary practice location

2150 E 1St St
Grimes, IA 50111-7606

Mailing address

2150 E 1St St
Grimes, IA 50111-7606
Phone (515) 986-9351

Other identifiers 1

IdentifierTypeStateIssuer
1043280977MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1144539172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E 1ST ST",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501117606",
            "telephone_number": "515-986-9351",
            "fax_number": "515-986-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E 1ST ST",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501117606",
            "telephone_number": "515-986-9351",
            "fax_number": "515-986-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE FRANZEEN O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "FRANZEEN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-986-9351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043280977",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.