Active NPI
Vision Care Clinic, P.C.
- Optometrist
- Council Bluffs, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VISION CARE CLINIC, P.C.
- Practice address
- 200 S 29TH St
Council Bluffs, IA 51501-3449 - Phone
- (712) 325-4999
- NPI assigned
- Oct 2, 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
- Dr. Scott Alan Bowker, O.D.
- Title
- Co-President
- Phone
- (712) 263-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
200 S 29TH St
Council Bluffs, IA 51501-3449
Mailing address
200 S 29TH St
Council Bluffs, IA 51501-3449
Phone (712) 325-4999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Vision Care Clinic PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Denison, IA
- NPI 1083668206
Locations
130 W Broadway
Council Bluffs, IA 51503
Phone (712) 325-4999
210 S 17th St
Blair, NE 68008
Phone (402) 426-2119
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Blair, NE
- NPI 1083901219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697587200000",
"number": "1144657354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S 29TH ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515013449",
"telephone_number": "712-325-4999",
"fax_number": "712-256-4073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S 29TH ST",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515013449",
"telephone_number": "712-325-4999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISION CARE CLINIC, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-02",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A",
"authorized_official_last_name": "BOWKER",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "CO-PRESIDENT",
"authorized_official_telephone_number": "712-263-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
- Kelci Van Es, OTR
- Barbara J Van Gorp, MPT, DPT, CSCS
- Hope Ann Vanhorn
- Ven Healthcare Council Bluffs LLC
- Visinet of Iowa, Inc.
- Vision Home Care LLC
- Vision Specialists of Council Bluffs LLC
- Visiting Nurse Association of Pottawattamie County
- Visiting Nurse Association of Pottawattamie County Iowa
- Visiting Nurse Services of Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.