Organization Active NPI

Urban Eyecare and Eyewear. LLC

  • Optometrist
  • West Des Moines, IA
National Provider Identifier
1184097354
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002454 Issued in IA
Legal business name
URBAN EYECARE AND EYEWEAR. LLC
Practice address
160 S 68TH St
Suite 1107
West Des Moines, IA 50266-8303
Phone
(515) 223-1000
NPI assigned
Nov 10, 2015
Last updated
Nov 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Lisa J Lansink, ODNPI 1326277138
Title
Sole Manager
Phone
(515) 223-1000

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 002454 IA Primary

Addresses

Primary practice location

160 S 68TH St
Suite 1107
West Des Moines, IA 50266-8303

Mailing address

160 S 68TH St
Suite 1107
West Des Moines, IA 50266-8303
Phone (515) 223-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160209001606 IA Part B Supplier - Clinic/Group Practice 3870897077 Receives reassigned benefits from 1 practitioner
Practice locations: West Des Moines, IA

National Provider Directory

National Provider Directory

Locations

160 S 68th St
Ste 1107
West Des Moines, IA 50266
Phone (515) 223-1000

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": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1184097354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S 68TH ST",
            "address_2": "SUITE 1107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668303",
            "telephone_number": "515-223-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S 68TH ST",
            "address_2": "SUITE 1107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668303",
            "telephone_number": "515-223-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN EYECARE AND EYEWEAR. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "LANSINK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MANAGER",
        "authorized_official_telephone_number": "515-223-1000",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; 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.

Verify at the official NPI Registry.