Organization Active NPI

Dr. John a. Vaubel, P.C.

  • Ophthalmology Physician
  • Storm Lake, IA
National Provider Identifier
1467666172
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
23567 Issued in IA
Legal business name
DR. JOHN A. VAUBEL, P.C.
Practice address
620 Northwestern Dr
Box 634
Storm Lake, IA 50588-2935
Phone
(712) 732-5030
Fax
(712) 213-5031
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Mrs. Vanessa L Stewart
Title
Billing Office Coordinator
Phone
(712) 732-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 23567 IA Primary

Addresses

Primary practice location

620 Northwestern Dr
Box 634
Storm Lake, IA 50588-2935

Mailing address

620 Northwestern Dr
Box 634
Storm Lake, IA 50588-2935
Phone (712) 732-5030

Other identifiers 1

IdentifierTypeStateIssuer
1203687MedicaidIA

National Provider Directory

National Provider Directory

Locations

620 Northwestern Dr
#634
Storm Lake, IA 50588
Phone (712) 732-5030

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1467666172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NORTHWESTERN DR",
            "address_2": "BOX 634",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882935",
            "telephone_number": "712-732-5030",
            "fax_number": "712-213-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NORTHWESTERN DR",
            "address_2": "BOX 634",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882935",
            "telephone_number": "712-732-5030",
            "fax_number": "712-213-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN A. VAUBEL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING OFFICE COORDINATOR",
        "authorized_official_telephone_number": "712-732-5030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "23567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1203687",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.