Organization Active NPI

QC Family Eye Care PLLC

  • Optometrist
  • Davenport, IA
National Provider Identifier
1265879290
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002577 Issued in IA
Legal business name
QC FAMILY EYE CARE PLLC
Practice address
5811 Elmore Ave
Davenport, IA 52807-3513
Phone
(563) 359-5008
Fax
(563) 359-6241
NPI assigned
May 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Dr. Sara R Kurtis, OD
Title
OD/Member
Phone
(563) 359-5008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 002577 IA Primary

Addresses

Primary practice location

5811 Elmore Ave
Davenport, IA 52807-3513

Mailing address

PO Box 206
Moline, IL 61266-0206
Phone (563) 359-5008

National Provider Directory

National Provider Directory

Locations

3845 Elmore Ave
Davenport, IA 52807
Phone (563) 355-3939

4343 16th St
Moline, IL 61265

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1265879290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612660206",
            "telephone_number": "563-359-5008",
            "fax_number": "563-359-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 ELMORE AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073513",
            "telephone_number": "563-359-5008",
            "fax_number": "563-359-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QC FAMILY EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "KURTIS",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OD/MEMBER",
        "authorized_official_telephone_number": "563-359-5008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.