Active NPI
Dr Charles R Varcoe OD PC
- Optometrist
- Adel, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 01604
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.
-
- Optometrist
- Adel, IA
- NPI 1811975592
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.