Organization Active NPI

Dubuque Family Eye Care PC

  • Optometrist
  • Dubuque, IA
National Provider Identifier
1508105487
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02276 Issued in IA
Legal business name
DUBUQUE FAMILY EYE CARE PC
Practice address
3343 Center Grove Dr Ste D
Dubuque, IA 52003-5264
Phone
(563) 588-2093
Fax
(563) 588-0590
NPI assigned
Feb 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Lynn M Howland, O.D.NPI 1437228103
Title
President/Owner
Phone
(563) 588-2093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 02276 IA Primary

Addresses

Primary practice location

3343 Center Grove Dr Ste D
Dubuque, IA 52003-5264

Mailing address

3343 Center Grove Dr Ste D
Dubuque, IA 52003-5264
Phone (563) 588-2093

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130530000119 IA Part B Supplier - Clinic/Group Practice 1052559267 Receives reassigned benefits from 2 practitioners
Practice locations: Dubuque, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1508105487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 CENTER GROVE DR STE D",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520035264",
            "telephone_number": "563-588-2093",
            "fax_number": "563-588-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 CENTER GROVE DR STE D",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520035264",
            "telephone_number": "563-588-2093",
            "fax_number": "563-588-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBUQUE FAMILY EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "HOWLAND",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "563-588-2093",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.