Organization Active NPI

Newton Optometric Center P C

  • Optometrist
  • Newton, IA
National Provider Identifier
1194809681
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NEWTON OPTOMETRIC CENTER P C
Practice address
100 N 4TH Ave W
Newton, IA 50208-3141
Phone
(641) 792-7900
Fax
(641) 792-8663
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Dr. Andrew Elias Sassaman, OD
Title
Vice President
Phone
(641) 792-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

100 N 4TH Ave W
Newton, IA 50208-3141

Mailing address

100 N 4TH Ave W
Newton, IA 50208-3141
Phone (641) 792-7900

Other identifiers 2

IdentifierTypeStateIssuer
0195255MedicaidIA
19525OtherIABLUE CROSS BLUE SHIELD

Other names 1

  • EYE CARE CENTER OF NEWTON Doing business as

National Provider Directory

National Provider Directory

Locations

1501 1st Ave E
Ste 1
Newton, IA 50208
Phone (515) 792-7900

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1194809681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 4TH AVE W",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083141",
            "telephone_number": "641-792-7900",
            "fax_number": "641-792-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 4TH AVE W",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083141",
            "telephone_number": "641-792-7900",
            "fax_number": "641-792-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTON OPTOMETRIC CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "SASSAMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "641-792-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0195255",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19525",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE CARE CENTER OF NEWTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.