Organization Active NPI

Eye Associates of Iowa City PC

  • Optometrist
  • Iowa City, IA
National Provider Identifier
1265405807
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE ASSOCIATES OF IOWA CITY PC
Practice address
1060 William St
Iowa City, IA 52240-6625
Phone
(319) 338-9275
Fax
(319) 338-2499
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Dr. Dennis J Schlader, ODNPI 1588638258
Title
Secretary
Phone
(319) 338-9275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1060 William St
Iowa City, IA 52240-6625

Mailing address

1060 William St
Iowa City, IA 52240-6625
Phone (319) 338-9275

Other identifiers 1

IdentifierTypeStateIssuer
0130054MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040317000684 IA Part B Supplier - Clinic/Group Practice 4688564313 Receives reassigned benefits from 6 practitioners
Practice locations: Iowa City, IA
O20100930016704 IA DME Supplier - Physician - Optometrist 4688564313 Practice locations: Iowa City, IA

National Provider Directory

National Provider Directory

Locations

2791 Heartland Dr
Ste 100
Coralville, IA 52241

1060 William St
Iowa City, IA 52240
Phone (319) 338-9275

1060 William St
Iowa City, IA 52240
Phone (319) 338-9275

1018 William St
Iowa City, IA 52240
Phone (319) 338-9275

204 5th St
Kalona, IA 52247

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1265405807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WILLIAM ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406625",
            "telephone_number": "319-338-9275",
            "fax_number": "319-338-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 WILLIAM ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406625",
            "telephone_number": "319-338-9275",
            "fax_number": "319-338-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF IOWA CITY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "SCHLADER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "319-338-9275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130054",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.