Individual provider Active NPI

Marlin Arthur Veatch, OD

  • Optometrist
  • Coralville, IA
National Provider Identifier
1285608018
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1548 Issued in IA
Practice address
2441 Coral CT
Suite #5
Coralville, IA 52241-2872
Phone
(319) 665-2727
Fax
(877) 335-3515
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1548 IA Primary

Addresses

Primary practice location

2441 Coral CT
Suite #5
Coralville, IA 52241-2872

Mailing address

2441 Coral CT
Suite #5
Coralville, IA 52241-2872
Phone (319) 665-2727

Other identifiers 2

IdentifierTypeStateIssuer
410027930OtherRAILROAD MEDICARE
0067082MedicaidIA

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

LicenseStateTypeSpecialty
1548IAMDOptometrist
01548IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Iowa City PC Optometrist PastSince Jul 9, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1285608018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 CORAL CT",
            "address_2": "SUITE #5",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412872",
            "telephone_number": "319-665-2727",
            "fax_number": "877-335-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 CORAL CT",
            "address_2": "SUITE #5",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412872",
            "telephone_number": "319-665-2727",
            "fax_number": "877-335-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEATCH",
        "first_name": "MARLIN",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410027930",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067082",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.