Iowa Eye Prosthetics, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

081105-08 CERT# Issued in FL

Legal business name

IOWA EYE PROSTHETICS, INC.

Practice address

625 1St Ave
Suite 200
Coralville, IA 52241-2101

Phone

(319) 354-3434

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Michael Bulgarelli, BA, BCO, FASO

Title

President, Ocularist

Phone

(319) 354-3434

Specialties & licenses 1

Addresses

Other identifiers 6

Tax ID family

Iowa Eye Prosthetics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Iowa Eye Prosthetics Inc

  • Ocularist
  • Coralville, IA
  • NPI 1063447217
  NPD tax ID

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205983897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 1ST AVE",
            "address_2": "SUITE 200",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412101",
            "telephone_number": "319-354-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 1ST AVE",
            "address_2": "SUITE 200",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412101",
            "telephone_number": "319-354-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA EYE PROSTHETICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BULGARELLI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT, OCULARIST",
        "authorized_official_telephone_number": "319-354-3434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA, BCO, FASO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "081105-08 CERT#",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A001983",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS O & P",
            "identifier": "50796",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128413",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS OF MN",
            "identifier": "40219IO",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS OF KS",
            "identifier": "63648",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS DME",
            "identifier": "12841",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iowa Chiropractic and Performance Center
• Iowa City Plastic Surgery LLC
• Iowa CVS Pharmacy LLC
• Iowa Dental Health Professionals, P.C.
• Iowa Eye Prosthetics Inc
• Iowa Medical & Classification Center
• Iowa Medicine LLC
• Iowa Open MRI
• Iowa Pediatric Dental Center
• Carolina Isleib, LMSW

• Customized Equipment (DME) in Coralville, IA
• Providers in Coralville, IA by specialty
• Customized Equipment (DME) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.