Organization Active NPI

Dr Charles R Varcoe OD PC

  • Optometrist
  • Adel, IA
National Provider Identifier
1386830487
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01604 Issued in IA
Legal business name
DR CHARLES R VARCOE OD PC
Practice address
209 Nile Kinnick Dr S
Adel, IA 50003-1728
Phone
(515) 993-4753
Fax
(515) 993-4754
NPI assigned
Sep 21, 2007
Last updated
May 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Dr. Charles Richard Varcoe, O.D.NPI 1811975592
Title
President
Phone
(515) 993-4753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 01604 IA Primary

Addresses

Primary practice location

209 Nile Kinnick Dr S
Adel, IA 50003-1728

Mailing address

209 Nile Kinnick Dr S
Adel, IA 50003-1728
Phone (515) 993-4753

National Provider Directory

National Provider Directory

Locations

209 Nile Kinnick Dr S
Adel, IA 50003
Phone (515) 993-4753

Practitioners & affiliated clinicians

Practitioners 1

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": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1386830487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 NILE KINNICK DR S",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500031728",
            "telephone_number": "515-993-4753",
            "fax_number": "515-993-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 NILE KINNICK DR S",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500031728",
            "telephone_number": "515-993-4753",
            "fax_number": "515-993-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHARLES R VARCOE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "VARCOE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-993-4753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adel, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.