Oculofacial Aesthetics, PLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD-42656 Issued in IA

Legal business name

OCULOFACIAL AESTHETICS, PLC

Practice address

5335 Eastern Ave
Suite C
Davenport, IA 52807-2788

Phone

(563) 213-5080

NPI assigned

Oct 27, 2015

Last updated

Oct 27, 2015By 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

Daniel Repp, MD

Title

Owner

Phone

(563) 213-5080

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12809/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1295107548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5335 EASTERN AVE",
            "address_2": "SUITE C",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072788",
            "telephone_number": "563-213-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 EASTERN AVE",
            "address_2": "SUITE C",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072788",
            "telephone_number": "563-213-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULOFACIAL AESTHETICS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "REPP",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-213-5080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "MD-42656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Oakes, LISW
• Obstetrics and Gynecology Specialists PC
• Occupational Health Centers of the Southwest P.a. (Concentra - City of Davenport Onsite)
• Occupational Health Centers of the Southwest PA (Concentra Medical Center)
• Oconnor Medical Supply Inc (See The Trainer - QC)
• Ann E Odonnell, D.O.
• Paul Gilbert Oehrlein
• Og Counseling LLC
• Olakunle Francis Oguntodu, MD
• Babatunde Abiodun Olatunji, D.C.

• Ophthalmology Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Ophthalmology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.