Organization Active NPI

Spencer Total Family Eyecare PC

  • Ophthalmologic Surgery Clinic/Center
  • Spencer, IA
National Provider Identifier
1164836839
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
SPENCER TOTAL FAMILY EYECARE PC
Practice address
110 W 4TH St
Spencer, IA 51301-4931
Phone
(712) 262-3331
NPI assigned
Jun 20, 2014
Last updated
Nov 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Amanda A WinterboerNPI 1154634780
Title
Owner
Phone
(712) 262-3331

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
Ophthalmologic Surgery Clinic/Center 261QS0132X IA Primary

Addresses

Primary practice location

110 W 4TH St
Spencer, IA 51301-4931

Mailing address

110 W 4TH St
Spencer, IA 51301-4931
Phone (712) 262-3331

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": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1164836839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 4TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014931",
            "telephone_number": "712-262-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 4TH ST",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014931",
            "telephone_number": "712-262-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER TOTAL FAMILY EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "WINTERBOER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-262-3331"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencer, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.