Eyemasters, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYEMASTERS, INC.

Doing business as

EyeMasters

Practice address

1751 Madison Avenue
St.E. 508
Council Bluffs, IA 51503

Phone

(712) 322-4000

Fax

(712) 322-9295

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Douglas Newcom

Title

VP Business Development

Phone

(210) 524-6700

Specialties & licenses 1

Addresses

Other names 1

• EyeMasters Doing business as

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1558546648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11103 WEST AVE",
            "address_2": "STE. 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131370",
            "telephone_number": "210-524-6663",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 MADISON AVENUE",
            "address_2": "ST.E. 508",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51503",
            "telephone_number": "712-322-4000",
            "fax_number": "712-322-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMASTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "NEWCOM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "VP BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "210-524-6700"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeMasters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Edward Evans, CADC CPADAC
• Reva Dawn Evans, CADC
• Theresa Margaret Evans, APRN NP
• Dannette S Eveloff, APRN
• Eyemasters Inc
• Nicholas Emmanuel Falcon, PLMHP, TLMHC
• Betty Elaine Falknor
• Family Connections, Inc
• Family Connections, Inc
• Family Eyecare Center, Inc.

• Optometrist in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.