NPIMap

Organization Active NPI

University of Iowa Community Medical Services Inc

  • Eyewear Supplier
  • Riverside, IA
National Provider Identifier
1174840474
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES INC
Practice address
3056 River Crossing Court
Suite B
Riverside, IA 52327-4727
Phone
(319) 467-8335
Fax
(319) 467-8337
NPI assigned
Apr 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Terry J Protextor
Title
Executive Director
Phone
(319) 337-7642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3056 River Crossing Court
Suite B
Riverside, IA 52327-4727

Mailing address

2941 Sierra CT SW
Iowa City, IA 52240-8503
Phone (319) 337-7642

Other names 1

  • UI HEALTH CARE - RIVER CROSSING OPTICAL SHOP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Belle Plaine Family Car8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3056 River Crossing Ct
Ste B
Riverside, IA 52327
Phone (319) 467-8335

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1174840474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 SIERRA CT SW",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408503",
            "telephone_number": "319-337-7642",
            "fax_number": "319-339-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3056 RIVER CROSSING COURT",
            "address_2": "SUITE B",
            "city": "RIVERSIDE",
            "state": "IA",
            "postal_code": "523274727",
            "telephone_number": "319-467-8335",
            "fax_number": "319-467-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF IOWA COMMUNITY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "PROTEXTOR",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-337-7642"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UI HEALTH CARE - RIVER CROSSING OPTICAL SHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.