Organization Active NPI

Linn County Eye Care PLC

  • Optometrist
  • Hiawatha, IA
National Provider Identifier
1528312436
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LINN COUNTY EYE CARE PLC
Practice address
405 S. Blairsterry Crossing
Hiawatha, IA 52233-2339
Phone
(319) 743-3937
Fax
(319) 743-3944
NPI assigned
Oct 30, 2012
Last updated
Aug 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Dr. David W Christensen, OD
Title
Owner
Phone
(319) 294-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

405 S. Blairsterry Crossing
Hiawatha, IA 52233-2339

Mailing address

915 Robins Square Dr
Robins, IA 52328-9649
Phone (319) 294-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130215000146 IA DME Supplier - Physician - OptometristDME Supplier - Optician 0749434041 Practice locations: Hiawatha, IA

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Linn County Eye Care PLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1528312436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 ROBINS SQUARE DR",
            "city": "ROBINS",
            "state": "IA",
            "postal_code": "523289649",
            "telephone_number": "319-294-8888",
            "fax_number": "319-294-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S. BLAIRSTERRY CROSSING",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332339",
            "telephone_number": "319-743-3937",
            "fax_number": "319-743-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINN COUNTY EYE CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-294-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.