Active NPI
Dr Curtis Broek OD PC
- Optometrist
- Urbandale, IA
National Provider Identifier
1306971973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DR CURTIS BROEK OD PC
- Practice address
- 7030 Douglas Ave
Urbandale, IA 50322-3224 - Phone
- (515) 278-0123
- Fax
- (515) 278-6310
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Curtis Broek, O.D.
- Title
- President
- Phone
- (515) 278-0123
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
7030 Douglas Ave
Urbandale, IA 50322-3224
Mailing address
7030 Douglas Ave
Urbandale, IA 50322-3224
Phone (515) 278-0123
Other names 1
- Curtis A. Broek OD PC
Medicare participation
Medicare enrollment files- 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.
National Provider Directory
National Provider DirectoryLocations
7030 Douglas Ave
Urbandale, IA 50322
Phone (515) 278-0123
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Urbandale, IA
- NPI 1437220282
-
- Optometrist
- Urbandale, IA
- NPI 1710368766
-
- Optometrist
- Urbandale, IA
- NPI 1083749659
-
- Optometrist
- Urbandale, IA
- NPI 1588827935
-
- Optometrist
- Lake City, FL
- NPI 1982263117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432598400000",
"number": "1306971973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7030 DOUGLAS AVE",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503223224",
"telephone_number": "515-278-0123",
"fax_number": "515-278-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7030 DOUGLAS AVE",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503223224",
"telephone_number": "515-278-0123",
"fax_number": "515-278-6310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR CURTIS BROEK OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2015-05-26",
"status": "A",
"authorized_official_last_name": "BROEK",
"authorized_official_first_name": "CURTIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "515-278-0123",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Curtis A. Broek OD PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.