NPIMap

Organization Active NPI

Vision Care Clinic PC

  • Optometrist
  • Moville, IA
National Provider Identifier
1215210737
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION CARE CLINIC PC
Practice address
223 Main St
Moville, IA 51039-7814
Phone
(712) 873-3440
Fax
(712) 873-3442
NPI assigned
Sep 21, 2011
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Dr. Keith A Schrunk, ODNPI 1477545697
Title
Co-President
Phone
(712) 873-3440

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 IA Primary

Addresses

Primary practice location

223 Main St
Moville, IA 51039-7814

Mailing address

223 Main St
Moville, IA 51039-7814
Phone (712) 873-3440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000966 IA Part B Supplier - Clinic/Group Practice 8325931223 Receives reassigned benefits from 9 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sioux City, IA; Denison, IA; Onawa, IA; Moville, IA; Missouri Valley, IA; Manning, IA; Mapleton, IA; Council Bluffs, IA

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1215210737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "MOVILLE",
            "state": "IA",
            "postal_code": "510397814",
            "telephone_number": "712-873-3440",
            "fax_number": "712-873-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MAIN ST",
            "city": "MOVILLE",
            "state": "IA",
            "postal_code": "510397814",
            "telephone_number": "712-873-3440",
            "fax_number": "712-873-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "SCHRUNK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "712-873-3440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.