Indianhead Investments, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

078300 Issued in IA

Legal business name

INDIANHEAD INVESTMENTS, LLC

Doing business as

Three Rivers Eye Care

Practice address

10 Taft St S
Humboldt, IA 50548-2037

Phone

(515) 332-2950

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Chad Anthony Gidel, O.D.

Title

Owner

Phone

(515) 520-3952

Specialties & licenses 1

Addresses

Other names 1

• Three Rivers Eye Care Doing business as

Locations

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1548631732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62859 SUNSET DR",
            "city": "NEVADA",
            "state": "IA",
            "postal_code": "502017984",
            "telephone_number": "515-520-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TAFT ST S",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505482037",
            "telephone_number": "515-332-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANHEAD INVESTMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "GIDEL",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-520-3952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "078300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Humboldt Workshop
• Humboldt Workshop, Inc
• Humboldt Workshop, Inc.
• Humboldt Workshop, Inc.
• Hy-Vee Inc (Hy-Vee Pharmacy)
• Iowa Physicians Clinic Medical Foundation (Unitypoint Clinic Family Medicine Humboldt)
• Rachel Kerns, PHARMD, MBA
• Kirk C Whittlesey
• Kari Lauren Kramer
• Emily Jean Lane, MS

• Optometrist in Humboldt, IA
• Providers in Humboldt, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.