NPIMap

Organization Active NPI

Insight Vision Inc.

  • Optometrist
  • Marion, IA
National Provider Identifier
1316912579
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02121 Issued in IA
Legal business name
INSIGHT VISION INC.
Practice address
1415 Blairs Ferry Rd
Marion, IA 52302-3159
Phone
(319) 377-5343
Fax
(319) 447-6119
NPI assigned
Feb 21, 2006
Last updated
Oct 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Troy William Albrecht, ODNPI 1053392522
Title
President
Phone
(319) 377-5343

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
Optometrist 152W00000X 02121 IA Primary

Addresses

Primary practice location

1415 Blairs Ferry Rd
Marion, IA 52302-3159

Mailing address

1415 Blairs Ferry Rd
Marion, IA 52302-3159
Phone (319) 377-5343

Other identifiers 1

IdentifierTypeStateIssuer
0102752MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616000196 IA Part B Supplier - Clinic/Group Practice 8123002276 Receives reassigned benefits from 5 practitioners
Practice locations: Marion, IA; Waukee, IA

National Provider Directory

National Provider Directory

Locations

12871 University Ave
Ste 140
Clive, IA 50325
Phone (515) 221-9195

1415 Blairs Ferry Rd
Marion, IA 52302
Phone (319) 377-5343

1350 E Hickman Rd
Waukee, IA 50263
Phone (515) 221-9195

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1316912579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BLAIRS FERRY RD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023159",
            "telephone_number": "319-377-5343",
            "fax_number": "319-447-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BLAIRS FERRY RD",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023159",
            "telephone_number": "319-377-5343",
            "fax_number": "319-447-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT VISION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "ALBRECHT",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-377-5343",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102752",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.