Associated Ophthalmologists, PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

ASSOCIATED OPHTHALMOLOGISTS, PC

Doing business as

Family Eyewear

Practice address

1212 Pleasant St
Ste 202
Des Moines, IA 50309-1414

Phone

(515) 288-8828

Fax

(515) 288-4888

NPI assigned

May 4, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael James Versackas, M.D.NPI 1457309551

Title

President

Phone

(515) 243-1580

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Eyewear Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Associated Ophthalmologists, PC

  • Optometrist
  • Des Moines, IA
  • NPI 1588622278

  O20040312001319

  Same enrollment

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael James Versackas, M.D.

  • Ophthalmology Physician
  • Des Moines, IA
  • NPI 1457309551
  NPD Authorized official
• Naveen Agha Husain, M.D.

  • Ophthalmology Physician
  • Des Moines, IA
  • NPI 1265490023
  NPD
• Syed Ejaz Husain, M.D.

  • Ophthalmology Physician
  • Des Moines, IA
  • NPI 1760440556
  NPD
• Christopher Tate Miller, O.D.

  • Optometrist
  • Des Moines, IA
  • NPI 1023066925
  NPD
• Jeffrey Michael Newland, OD

  • Optometrist
  • Des Moines, IA
  • NPI 1326619982
  NPD
• Christopher J Borgman, O.D.

  • Optometrist
  • Des Moines, IA
  • NPI 1861704454
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1285682229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 PLEASANT ST",
            "address_2": "STE 202",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091414",
            "telephone_number": "515-288-8828",
            "fax_number": "515-288-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 PLEASANT ST",
            "address_2": "STE 202",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091414",
            "telephone_number": "515-288-8828",
            "fax_number": "515-288-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED OPHTHALMOLOGISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "VERSACKAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-243-1580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041798",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Eyewear Supplier in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.