Eye Care of Iowa PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE OF IOWA PC

Practice address

5075 E University Ave
Ste C
Pleasant Hill, IA 50327

Phone

(515) 265-5322

Fax

(515) 265-1437

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Bernard E Lee, OD

Title

Optometrist

Phone

(515) 265-5322

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1578512778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 E UNIVERSITY AVE",
            "address_2": "STE C",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "50327",
            "telephone_number": "515-265-5322",
            "fax_number": "515-265-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 E UNIVERSITY AVE",
            "address_2": "STE C",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "50327",
            "telephone_number": "515-265-5322",
            "fax_number": "515-265-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE OF IOWA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "515-265-5322",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0416909",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Keith Detrick, PHARMD
• Debbie Ann Dettmer, LPN
• Brent Allen Douglas, M.A., LMHC
• Edencrest at Pleasant Hill, LLC
• Eye Care Associates of Co LLC
• Eyemart Express LLC
• Megan N Ferguson, ARNP
• Patrick Ford
• Angela Nicole Forsberg
• Shasta Lee Gamble

• Optometrist in Pleasant Hill, IA
• Providers in Pleasant Hill, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.