Active NPI
David J. Cole, O.D.
- Optometrist
- Eldridge, IA
National Provider Identifier
1265574883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1704
- Practice address
- 251 N 6TH Ave
Eldridge, IA 52748-1759 - Phone
- (563) 285-4001
- Fax
- (563) 285-6121
- NPI assigned
- Feb 12, 2007
- Last updated
- Mar 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1704 | IA | Primary |
Addresses
Primary practice location
251 N 6TH Ave
Eldridge, IA 52748-1759
Mailing address
251 N 6TH Ave
Eldridge, IA 52748-1759
Phone (563) 285-4001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179184 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1704 | IA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205193600000",
"number": "1265574883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 N 6TH AVE",
"city": "ELDRIDGE",
"state": "IA",
"postal_code": "527481759",
"telephone_number": "563-285-4001",
"fax_number": "563-285-6121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 N 6TH AVE",
"city": "ELDRIDGE",
"state": "IA",
"postal_code": "527481759",
"telephone_number": "563-285-4001",
"fax_number": "563-285-6121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "DAVID",
"middle_name": "J.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2008-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "1704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179184",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eldridge, IA
- Chiropractic Care Center, P.C.
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- Linda Clark, LSW
- Clinton Back and Neck Care Center, PC (Parkview Back and Neck Care Center)
- Carla Rose Cloos, M.D.
- Regan A Cone, D.O.
- Nicole Cope, M S CCC SLP
- Brittany Marie Crampton, D.C.
- Kevin Arthur Cunningham, D.C., PH.D.
- Julie S. Daniels, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.