NPIMap

Organization Active NPI

Valley Eye Clinic PC

  • Optometrist
  • West Des Moines, IA
National Provider Identifier
1235304379
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1547T Issued in IA
Legal business name
VALLEY EYE CLINIC PC
Practice address
2020 Grand Ave
#1000
West Des Moines, IA 50265
Phone
(515) 223-1266
Fax
(515) 223-1020
NPI assigned
Apr 29, 2008
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Larry D Swanger, ODNPI 1518957299
Title
Dr
Phone
(515) 223-1266

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 1547T IA Primary

Addresses

Primary practice location

2020 Grand Ave
#1000
West Des Moines, IA 50265

Mailing address

2020 Grand Ave
#1000
West Des Moines, IA 50265
Phone (515) 223-1266

Other identifiers 1

IdentifierTypeStateIssuer
0073544MedicaidIA

National Provider Directory

National Provider Directory

Locations

2020 Grand Ave
Ste 1000
West Des Moines, IA 50265
Phone (515) 223-1266

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1235304379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GRAND AVE",
            "address_2": "#1000",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50265",
            "telephone_number": "515-223-1266",
            "fax_number": "515-223-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GRAND AVE",
            "address_2": "#1000",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "50265",
            "telephone_number": "515-223-1266",
            "fax_number": "515-223-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SWANGER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "515-223-1266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1547T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073544",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.