Organization Active NPI

Vision Health Center, P.C.

  • Optometrist
  • Dubuque, IA
National Provider Identifier
1215031596
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1784 Issued in IA
Legal business name
VISION HEALTH CENTER, P.C.
Practice address
505 Cedar Cross Rd
Dubuque, IA 52003-7704
Phone
(563) 556-3937
Fax
(563) 556-5421
NPI assigned
Sep 8, 2006
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Steven D. Sloan, ODNPI 1881689461
Title
Owner
Phone
(563) 556-3937

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 1784 IA Primary

Addresses

Primary practice location

505 Cedar Cross Rd
Dubuque, IA 52003-7704

Mailing address

505 Cedar Cross Rd
Dubuque, IA 52003-7704
Phone (563) 556-3937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070628000637 IA Part B Supplier - Clinic/Group Practice 7416056692 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Bellevue, IA; Dubuque, IA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Vision Health Center2 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.

Locations

113 State St
Bellevue, IA 52031
Phone (563) 872-5975

Practitioners & affiliated clinicians

Practitioners 4

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": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1215031596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CEDAR CROSS RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037704",
            "telephone_number": "563-556-3937",
            "fax_number": "563-556-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CEDAR CROSS RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037704",
            "telephone_number": "563-556-3937",
            "fax_number": "563-556-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-556-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

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