NPIMap

Organization Active NPI

McFarland Clinic, PC

  • Eyewear Supplier
  • Carroll, IA
National Provider Identifier
1477330819
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MCFARLAND CLINIC, PC
Practice address
1236 Heires Ave
Carroll, IA 51401-3328
Phone
(712) 792-3318
NPI assigned
Sep 11, 2023
Last updated
Sep 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Jeb Odein Lee
Title
Exec Director of Operations & Payor
Phone
(515) 663-8663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

1236 Heires Ave
Carroll, IA 51401-3328

Mailing address

1215 Duff Ave
Ames, IA 50010-5469
Phone (515) 239-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231115002445 IA DME Supplier - Physician - Optometrist 1254244239 Practice locations: Carroll, IA

Other NPIs with the same Medicare PAC ID 9

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
McFarland Clinic, PC1236 Heires Ave, Carroll, IA 51401-3328(515) 239-4400 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1991

National Provider Directory

National Provider Directory
Tax ID family
McFarland Clinic10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1236 Heires Ave
Carroll, IA 51401
Phone (515) 222-6400

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northridge VillageAmes, IA, CCN 165613 Skilled nursing facility Adp of the SNF Sep 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1477330819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105469",
            "telephone_number": "515-239-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 HEIRES AVE",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013328",
            "telephone_number": "712-792-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCFARLAND CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEB",
        "authorized_official_middle_name": "ODEIN",
        "authorized_official_title_or_position": "EXEC DIRECTOR OF OPERATIONS & PAYOR",
        "authorized_official_telephone_number": "515-663-8663"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.