Organization Active NPI

Eye Care Associates of Co, LLC

Doing business as Eye Care of Iowa - South Des Moines

  • Optometrist
  • Des Moines, IA
National Provider Identifier
1508629585
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CARE ASSOCIATES OF CO, LLC
Doing business as
Eye Care of Iowa - South Des Moines
Practice address
200 Army Post Rd
Des Moines, IA 50315-6203
Phone
(515) 287-5565
NPI assigned
Feb 2, 2024
Last updated
Feb 2, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
EYE CARE ASSOCIATES OF CO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
David Deppen
Title
Senior Director, Revenue Cycle Mana
Phone
(937) 539-8057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

200 Army Post Rd
Des Moines, IA 50315-6203

Mailing address

PO Box 879
Fort Washington, PA 19034-0879

Other names 1

  • Eye Care of Iowa - South Des Moines Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eye Care Associates of Co34 organizations share this tax ID, including this one
Part of
Eye Care Associates of Co

Other organizations with this tax ID 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1508629585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190340879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ARMY POST RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503156203",
            "telephone_number": "515-287-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF CO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CARE ASSOCIATES OF CO, LLC",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "DEPPEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, REVENUE CYCLE MANA",
        "authorized_official_telephone_number": "937-539-8057"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care of Iowa - South Des Moines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.