Organization Active NPI

Veatch Eye Care, P.C.

  • Optometrist
  • Coralville, IA
National Provider Identifier
1508179458
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02335 Issued in IA
Legal business name
VEATCH EYE CARE, P.C.
Practice address
2441 Coral CT
Suite #5
Coralville, IA 52241-2872
Phone
(319) 665-2727
NPI assigned
Jul 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Dr. Ryan D Veatch, O.D.NPI 1932172004
Title
Owner, President
Phone
(319) 665-2727

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 02335 IA Primary

Addresses

Primary practice location

2441 Coral CT
Suite #5
Coralville, IA 52241-2872

Mailing address

2441 Coral CT
Suite #5
Coralville, IA 52241-2872
Phone (319) 665-2727

Other names 1

  • Blink Vision by Veatch Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100818001079 IA Part B Supplier - Clinic/Group Practice 4981738408 Receives reassigned benefits from 1 practitioner
Practice locations: North Liberty, IA

National Provider Directory

National Provider Directory

Locations

660 W Cherry St
Ste 1
North Liberty, IA 52317
Phone (319) 354-5030

660 W Cherry St
North Liberty, IA 52317
Phone (319) 665-2727

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": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1508179458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 CORAL CT",
            "address_2": "SUITE #5",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412872",
            "telephone_number": "319-665-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 CORAL CT",
            "address_2": "SUITE #5",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412872",
            "telephone_number": "319-665-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEATCH EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-21",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "VEATCH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "319-665-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blink Vision by Veatch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.