NPIMap

Organization Active NPI

Linn County Eye Care PLC

  • Optometrist
  • Marion, IA
National Provider Identifier
1215280623
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LINN COUNTY EYE CARE PLC
Practice address
1065 E Post Rd
Marion, IA 52302-5214
Phone
(319) 377-2222
Fax
(319) 377-2967
NPI assigned
Oct 23, 2012
Last updated
Oct 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Dr. David W Christensen, ODNPI 1891775276
Title
Owner
Phone
(319) 294-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

1065 E Post Rd
Marion, IA 52302-5214

Mailing address

915 Robins Square Dr
Robins, IA 52328-9649
Phone (319) 294-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130215000308 IA DME Supplier - Physician - OptometristDME Supplier - Optician 0749434041 Practice locations: Marion, IA

Other NPIs with the same Medicare PAC ID 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Linn County Eye Care PLC1065 E Post Rd, Marion, IA 52302-5214(319) 377-2222 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 2013

National Provider Directory

National Provider Directory
Tax ID family
Linn County Eye Care PLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1215280623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 ROBINS SQUARE DR",
            "city": "ROBINS",
            "state": "IA",
            "postal_code": "523289649",
            "telephone_number": "319-294-8888",
            "fax_number": "319-294-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 E POST RD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523025214",
            "telephone_number": "319-377-2222",
            "fax_number": "319-377-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINN COUNTY EYE CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-294-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.