Midwest Vision Clinic PLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MIDWEST VISION CLINIC PLC

Practice address

425 S 2ND St
Clinton, IA 52732

Phone

(563) 242-0223

Fax

(563) 242-6864

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Brian W Peck, ODNPI 1417982828

Title

Owner Optometrist

Phone

(563) 242-0223

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian W Peck, OD

  • Optometrist
  • Clinton, IA
  • NPI 1417982828
  Medicare reassignment Care Compare group Authorized official
• Rebecca L Peck, OD

  • Optometrist
  • Clinton, IA
  • NPI 1639104045
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1245254648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 S 2ND ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "52732",
            "telephone_number": "563-242-0223",
            "fax_number": "563-242-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S 2ND ST",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "52732",
            "telephone_number": "563-242-0223",
            "fax_number": "563-242-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST VISION CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "563-242-0223",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "48076",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0183616",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Metz, ARNP
• Janeen Meyer, LISW
• Jocelyn Meyer
• Joshua Meyer
• Michael Mankarious MD PC
• Lynette Spencer Mikesh
• Thomas Lee Millard, PHD
• Miller-Meier Limb and Brace, Inc.
• Isabel Cecilia Miller, DDS
• Rose M Miller

• Optometrist in Clinton, IA
• Providers in Clinton, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.