Active NPI
Eye Care Optical, LLC
- Eyewear Supplier
- Ottumwa, IA
National Provider Identifier
1245654193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- EYE CARE OPTICAL, LLC
- Practice address
- 1005 Pennsylvania
Suite 110
Ottumwa, IA 52501-2153 - Phone
- (641) 682-8571
- Fax
- (641) 682-8573
- NPI assigned
- Feb 13, 2014
- Last updated
- Feb 13, 2014
- Organization subpart
- Yes
- Parent organization
- EYE CARE OPTICAL, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin L Swartz
- Title
- Ceo
- Phone
- (641) 754-6200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | Primary |
Addresses
Primary practice location
1005 Pennsylvania
Suite 110
Ottumwa, IA 52501-2153
Mailing address
309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140408002254 | IA | DME Supplier - Physician - Optometrist | 8123148152 | 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).
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Eye Care Optical LLC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Eye Care Optical LLC
- Part of
- Eye Care Optical LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- West Des Moines, IA
- NPI 1275685703
-
- Eyewear Supplier
- Marshalltown, IA
- NPI 1700865409
-
- Eyewear Supplier
- Ames, IA
- NPI 1891847349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392249600000",
"number": "1245654193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E CHURCH ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501582946",
"telephone_number": "641-754-6200",
"fax_number": "641-754-6245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 PENNSYLVANIA",
"address_2": "SUITE 110",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012153",
"telephone_number": "641-682-8571",
"fax_number": "641-682-8573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARE OPTICAL, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EYE CARE OPTICAL, LLC",
"enumeration_date": "2014-02-13",
"last_updated": "2014-02-13",
"status": "A",
"authorized_official_last_name": "SWARTZ",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "641-754-6200"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 13, 2014; 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.