Ultra Eyecare, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ULTRA EYECARE, P.C.

Practice address

5201 SE 14TH St
Des Moines, IA 50320-1615

Phone

(515) 285-3568

NPI assigned

May 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Michael Budahn, O.D.NPI 1619126307

Title

Optometrist

Phone

(612) 599-8327

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael S Budahn, O.D.

  • Optometrist
  • Des Moines, IA
  • NPI 1619126307
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557532800000",
    "number": "1427614874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14761 LAKEVIEW DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257759",
            "telephone_number": "612-599-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201615",
            "telephone_number": "515-285-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-11",
        "last_updated": "2019-05-11",
        "status": "A",
        "authorized_official_last_name": "BUDAHN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "612-599-8327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.