Organization Active NPI

Hawkeye Clinic of Lemars

Doing business as LeMars Optometric Center

  • Optometrist
  • Le Mars, IA
National Provider Identifier
1194901454
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01857 Issued in IA
Legal business name
HAWKEYE CLINIC OF LEMARS
Doing business as
LeMars Optometric Center
Practice address
38 Central Ave NE
Le Mars, IA 51031-3515
Phone
(712) 546-6803
Fax
(712) 548-4151
NPI assigned
Jan 17, 2008
Last updated
Apr 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Dr. Steven J Ferguson, ODNPI 1952309502
Title
Owner
Phone
(605) 232-6900

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 01857 IA Primary

Addresses

Primary practice location

38 Central Ave NE
Le Mars, IA 51031-3515

Mailing address

PO Box 436
Le Mars, IA 51031-0436
Phone (712) 546-6803

Other names 1

  • LeMars Optometric Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080721000050 IA Part B Supplier - Clinic/Group Practice 8921171224 Receives reassigned benefits from 2 practitioners
Practice locations: Le Mars, IA

National Provider Directory

National Provider Directory

Locations

305 Dakota Dunes Blvd
North Sioux City, SD 57049
Phone (605) 232-6900

Practitioners & affiliated clinicians

Practitioners 2

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": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1194901454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510310436",
            "telephone_number": "712-546-6803",
            "fax_number": "712-548-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 CENTRAL AVE NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313515",
            "telephone_number": "712-546-6803",
            "fax_number": "712-548-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWKEYE CLINIC OF LEMARS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-232-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LeMars Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Le Mars, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.