Organization Active NPI

Sliwinski Family Eyecare

  • Optometrist
  • Burlington, IA
National Provider Identifier
1306188487
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002525 Issued in IA
Legal business name
SLIWINSKI FAMILY EYECARE
Practice address
2930 Division St
Burlington, IA 52601-1616
Phone
(319) 754-5518
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Dr. Daniel Ross Sliwinski, O.D.NPI 1932495991
Title
Optometrist
Phone
(708) 774-6573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 002525 IA Primary

Addresses

Primary practice location

2930 Division St
Burlington, IA 52601-1616

Mailing address

2930 Division St
Burlington, IA 52601-1616
Phone (319) 754-5518

Other identifiers 1

IdentifierTypeStateIssuer
0502600MedicaidIA

Other names 1

  • Midwest Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160907002457 IA Part B Supplier - Clinic/Group Practice 9436445004 Receives reassigned benefits from 2 practitioners
Practice locations: Burlington, IA
O20170311000106 IA DME Supplier - Physician - Optometrist 9436445004 Practice locations: Burlington, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Midwest Eye Clinic2930 Division St, Burlington, IA 52601-1616(319) 754-5518 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Aug 1, 2016

National Provider Directory

National Provider Directory

Locations

2930 Division St
Burlington, IA 52601
Phone (319) 754-5518

3031 Flint Hills Dr
Burlington, IA 52601
Phone (319) 754-5518

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1306188487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 DIVISION ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526011616",
            "telephone_number": "319-754-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 DIVISION ST",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526011616",
            "telephone_number": "319-754-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLIWINSKI FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "SLIWINSKI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "708-774-6573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0502600",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.