Quality Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

002401 Issued in IA

Legal business name

QUALITY EYE CARE LLC

Practice address

4105 SW Bluegrass Dr
Ankeny, IA 50023-8280

Phone

(515) 370-2969

NPI assigned

Dec 21, 2008

Organization subpart

No

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

Authorized official

Name

Amanda Mataya, O.D

Title

Owner/Optometrist

Phone

(515) 370-2969

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229817600000",
    "number": "1376789370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 SW BLUEGRASS DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238280",
            "telephone_number": "515-370-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 SW BLUEGRASS DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500238280",
            "telephone_number": "515-370-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-21",
        "last_updated": "2008-12-21",
        "status": "A",
        "authorized_official_last_name": "MATAYA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "515-370-2969",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.