Organization Active NPI

Osceola Vision Center P.C.

Doing business as Ottumwa Eye Care

  • Eyewear Supplier
  • Ottumwa, IA
National Provider Identifier
1245416155
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
OSCEOLA VISION CENTER P.C.
Doing business as
Ottumwa Eye Care
Practice address
103 W Main St
Ottumwa, IA 52501-2542
Phone
(641) 682-9816
Fax
(641) 682-4690
NPI assigned
Jan 10, 2008
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. David Cash Hoacley, O.D.
Title
Owner
Phone
(641) 682-9816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

103 W Main St
Ottumwa, IA 52501-2542

Mailing address

103 W Main St
Ottumwa, IA 52501-2542
Phone (641) 774-7507

Other names 1

  • Ottumwa Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930094802 IA DME Supplier - Physician - Optometrist 9537151261 Practice locations: Ottumwa, IA

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Osceola Vision Center PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

131 N Main St
Chariton, IA 50049
Phone (641) 342-2737

103 W Main St
Ottumwa, IA 52501
Phone (641) 682-9816

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1245416155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012542",
            "telephone_number": "641-774-7507",
            "fax_number": "641-774-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525012542",
            "telephone_number": "641-682-9816",
            "fax_number": "641-682-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA VISION CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HOACLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-682-9816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ottumwa Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottumwa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.