Active NPI
River Cities Ophthalmology, P.C.
- Ophthalmology Physician
- West Burlington, IA
National Provider Identifier
1457618100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 29979
- Legal business name
- RIVER CITIES OPHTHALMOLOGY, P.C.
- Practice address
- 1223 S Gear Ave
307 Eastman Plaza
West Burlington, IA 52655-1682 - Phone
- (319) 752-2020
- Fax
- (319) 752-1173
- NPI assigned
- Apr 19, 2012
- 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
- Mark D Reynolds, M.D.
- Title
- Vice President
- Phone
- (319) 372-9292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 29979 | IA | Primary |
Addresses
Primary practice location
1223 S Gear Ave
307 Eastman Plaza
West Burlington, IA 52655-1682
Mailing address
5409 Avenue O
Suite 118
Fort Madison, IA 52627-9601
Phone (319) 372-9292
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Fort Madison, IA
- NPI 1982651311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334793600000",
"number": "1457618100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5409 AVENUE O",
"address_2": "SUITE 118",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526279601",
"telephone_number": "319-372-9292",
"fax_number": "319-372-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 S GEAR AVE",
"address_2": "307 EASTMAN PLAZA",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551682",
"telephone_number": "319-752-2020",
"fax_number": "319-752-1173"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER CITIES OPHTHALMOLOGY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-19",
"last_updated": "2012-04-19",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "319-372-9292",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IA",
"license": "29979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.