Dr Charles R Varcoe OD PC

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

Organization subpart

No

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.

Title

President

Phone

(515) 993-4753

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PIN",
            "identifier": "13948",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139485",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Anne Dawley
• Thu Ha Dixon
• Noah Doll
• Susan Louise Donahue, D.O.
• Nilani Downs
• Pamela Ann Duffy, PT
• David Christopher Duroe, D.C.
• Eastern Iowa Therapeutics P.C.
• Edencrest at Adel, LCC
• Kailey Fabrizius

• All providers in Adel, IA
• Optometrist in Iowa

• 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.