Organization Active NPI

Land Eye Center, PLC

  • Ophthalmology Physician
  • Clinton, IA
National Provider Identifier
1336362623
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
22022 Issued in IA
Legal business name
LAND EYE CENTER, PLC
Practice address
2315 16TH St NW
Clinton, IA 52732-3305
Phone
(563) 242-3937
Fax
(563) 242-3845
NPI assigned
Apr 11, 2007
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Garry A Land, M.D.
Title
Owner
Phone
(563) 242-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 22022 IA Primary

Addresses

Primary practice location

2315 16TH St NW
Clinton, IA 52732-3305

Mailing address

PO Box 608
Clinton, IA 52733-0608
Phone (563) 242-3937

Other identifiers 1

IdentifierTypeStateIssuer
2173906MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1336362623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527330608",
            "telephone_number": "563-242-3937",
            "fax_number": "563-242-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 16TH ST NW",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527323305",
            "telephone_number": "563-242-3937",
            "fax_number": "563-242-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAND EYE CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-242-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "22022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2173906",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.