Aruba Vision LLC
Organization Active NPI Optometrist · Harlan, IA
NPI 1437848280 · NPPES record last updated May 9, 2023
Key facts
- NPI
- 1437848280
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ARUBA VISION LLC
- Practice address
- 2306 12TH St
Harlan, IA 51537-2002 - Phone
- (712) 755-3893
- Fax
- (712) 755-7580
- NPI assigned
- May 5, 2023
- Organization subpart
- No
Authorized official
- Name
- Terry L Brown, OD
- Title
- President
- Phone
- (515) 386-3626
Corporate family (same tax ID) 1
Practitioners 4
-
Terry L Brown, OD
-
Troy L Currier, OD
-
Tristan M Brown, O.D.
-
Jamie W Ostrander, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231019000307 | IA | Part B Supplier - Clinic/Group Practice | 9537515028 |
Receives reassigned benefits from 2 practitioners Practice locations: Harlan, IA |
| O20240515002264 | IA | DME Supplier - Physician - Optometrist | 9537515028 | Practice locations: Harlan, IA |
National Provider Directory
- Tax ID family
- Aruba Vision LLC
Locations
2306 12th St
Harlan, IA 51537
Phone (712) 755-3893
117 E Lincoln Way
Ste 120
Jefferson, IA 50129
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
2306 12TH St
Harlan, IA 51537-2002
Mailing address
PO Box 460
Jefferson, IA 50129-0460
Phone (515) 386-3626
Other providers in Harlan, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.