Organization Active NPI

Eye Care Optical

  • Eyewear Supplier
  • West Des Moines, IA
National Provider Identifier
1275685703
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE CARE OPTICAL
Practice address
6200 Westown Pkwy
West Des Moines, IA 50266-7705
Phone
(515) 223-8685
Fax
(641) 754-6245
NPI assigned
Jan 17, 2007
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
EYE CARE OPTICALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Denny L Starr
Title
Cfo
Phone
(641) 754-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

6200 Westown Pkwy
West Des Moines, IA 50266-7705

Mailing address

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

Other identifiers 1

IdentifierTypeStateIssuer
0452565MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Eye Care Optical LLC4 organizations share this tax ID, including this one
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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1275685703",
    "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": "6200 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667705",
            "telephone_number": "515-223-8685",
            "fax_number": "641-754-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE OPTICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CARE OPTICAL",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "DENNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-754-6200"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0452565",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.

Verify at the official NPI Registry.