Washington Eye Care Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

2015T Issued in IA

Legal business name

WASHINGTON EYE CARE CENTER

Doing business as

Axis Vision Care

Practice address

221 N 2ND Ave
Box 70
Washington, IA 52353-2203

Phone

(319) 653-4558

Fax

(319) 653-2574

NPI assigned

Dec 14, 2010

Last updated

Nov 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Courtney, O.D.NPI 1427256536

Title

Partner

Phone

(319) 653-4558

Specialties & licenses 1

Addresses

Other names 1

• Axis Vision Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Washington Eye Care Center

  dba Axis Vision Care

  • Optometrist
  • Fairfield, IA
  • NPI 1053914705

  1254510308

  Same PAC ID
• Washington Eye Care Center

  dba Axis Vision Care

  • Optometrist
  • Williamsburg, IA
  • NPI 1417551193

  1254510308

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Washington Eye Care Center

  dba Axis Vision Care

  • Optometrist
  • Fairfield, IA
  • NPI 1053914705

  O20110215000941

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Washington Eye Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Washington Eye Care Center

  dba Axis Vision Care

  • Optometrist
  • Fairfield, IA
  • NPI 1053914705
  NPD tax ID
• Washington Eye Care Center

  dba Axis Vision Care

  • Optometrist
  • Williamsburg, IA
  • NPI 1417551193
  NPD tax ID

Locations

Practitioners 4

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.

• Timothy Michael Courtney, O.D.

  • Optometrist
  • Washington, IA
  • NPI 1427256536
  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Joann Harris, OD

  • Optometrist
  • Tiffin, IA
  • NPI 1083289581
  Medicare reassignment Care Compare group NPD
• Cade Millikin

  • Optometrist
  • Fairfield, IA
  • NPI 1720724834
  Medicare reassignment Care Compare group NPD
• Ryan Lee Striegel, O.D.

  • Optometrist
  • Williamsburg, IA
  • NPI 1144459736
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1447553474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N 2ND AVE",
            "address_2": "BOX 70",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523532203",
            "telephone_number": "319-653-4558",
            "fax_number": "319-653-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N 2ND AVE",
            "address_2": "BOX 70",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523532203",
            "telephone_number": "319-653-4558",
            "fax_number": "319-653-2574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Buck St",
            "address_purpose": "LOCATION",
            "city": "Tiffin",
            "state": "IA",
            "postal_code": "523409446",
            "country_code": "US",
            "telephone_number": "319-545-2252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W State St",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "IA",
            "postal_code": "523614709",
            "country_code": "US",
            "telephone_number": "319-668-8000",
            "fax_number": "319-668-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WASHINGTON EYE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "319-653-4558",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2015T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axis Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Washington County Mini Bus Inc
• Washington County Mini Bus Inc
• Washington County Public Health and Home Care
• Washington County Public Health and Home Care
• Washington Dental Associates (Harris and Harris)
• Washington Medical Clinic
• Washington Nursing and Rehabilitation Center LLC (Pearl Valley Rehabilitation and Healthcare Center of Washington)
• Washington SNF Operator LLC
• WCDC, Inc.
• Wesley Retirement Services, Inc. (Halcyon House, A WesleyLife Community)

• Optometrist in Washington, IA
• Providers in Washington, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.