Active NPI
Eye Care Optical
- Eyewear Supplier
- West Des Moines, IA
National Provider Identifier
1275685703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- EYE CARE OPTICAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0452565 | Medicaid | IA |
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
- Marshalltown, IA
- NPI 1700865409
-
- Eyewear Supplier
- Ottumwa, IA
- NPI 1245654193
-
- Eyewear Supplier
- Ames, IA
- NPI 1891847349
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.