NPIMap

Organization Active NPI

McFarland Clinic, PC

  • Eyewear Supplier
  • Nevada, IA
National Provider Identifier
1356424147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MCFARLAND CLINIC, PC
Practice address
1014 6TH St
Nevada, IA 50201-1826
Phone
(515) 382-4626
Fax
(515) 382-4979
NPI assigned
Oct 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeb O. Lee
Title
Exec Dir Clinical Operations
Phone
(515) 663-8663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1014 6TH St
Nevada, IA 50201-1826

Mailing address

1014 6TH Street
Nevada, IA 50201-1826
Phone (515) 382-4626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930001309 IA DME Supplier - Physician - OptometristDME Supplier - Optician 1254244239 Practice locations: Nevada, IA

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
McFarland Heart Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1014 6th St
Nevada, IA 50201
Phone (515) 382-4626

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northridge VillageAmes, IA, CCN 165613 Skilled nursing facility Adp of the SNF Sep 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356424147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 6TH STREET",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502011826",
            "telephone_number": "515-382-4626",
            "fax_number": "515-382-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 6TH ST",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502011826",
            "telephone_number": "515-382-4626",
            "fax_number": "515-382-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCFARLAND CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEB",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "EXEC DIR CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "515-663-8663",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, IA

Sources for this page

Verify at the official NPI Registry.