Reed M. Bouchey, M.D., P.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

26041 Issued in IA

Legal business name

REED M. BOUCHEY, M.D., P.C.

Doing business as

Bouchey Eye Surgery

Practice address

501 S White St
Suite 105
Mount Pleasant, IA 52641-2600

Phone

(319) 385-6775

Fax

(319) 385-6778

NPI assigned

Oct 24, 2007

Last updated

Jan 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Reed Munro Bouchey, M.D., P.C.NPI 1689649667

Title

President

Phone

(319) 385-6775

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Bouchey Eye Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

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.

• Reed Munro Bouchey, MD PC

  • Ophthalmology Physician
  • Mt Pleasant, IA
  • NPI 1689649667
  Medicare reassignment NPD Authorized official
• Sarah Vanway, O.D.

  • Optometrist
  • Fairfield, IA
  • NPI 1134152796
  Medicare reassignment NPD

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1194904326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST",
            "address_2": "SUITE 105",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526412600",
            "telephone_number": "319-385-6775",
            "fax_number": "319-385-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST",
            "address_2": "SUITE 105",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526412600",
            "telephone_number": "319-385-6775",
            "fax_number": "319-385-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REED M. BOUCHEY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "BOUCHEY",
        "authorized_official_first_name": "REED",
        "authorized_official_middle_name": "MUNRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-385-6775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IA",
            "license": "26041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "12294",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "372521983526410000",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0100297",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bouchey Eye Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Mt Pleasant, IA
• Providers in Mt Pleasant, IA by specialty
• Ambulatory Surgical Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.