Active NPI
Mt Vernon Eye Clinic PLC
- Optometrist
- Mount Vernon, IA
National Provider Identifier
1578635686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MT VERNON EYE CLINIC PLC
- Practice address
- 202 Glenn St
Mount Vernon, IA 52314-1588 - Phone
- (319) 895-8888
- Fax
- (319) 895-8889
- NPI assigned
- Nov 14, 2006
- Last updated
- Oct 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peg L Flockhart
- Title
- Insurance Manager
- Phone
- (319) 895-8888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
202 Glenn St
Mount Vernon, IA 52314-1588
Mailing address
202 Glenn St
Mount Vernon, IA 52314-1588
Phone (319) 895-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Mt Vernon Eye Clinic PLC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
202 Glenn St SE
Mount Vernon, IA 52314
Phone (319) 895-8888
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Burlington, IA
- NPI 1215445051
-
- Optometrist
- Burlington, IA
- NPI 1306354147
-
- Optometrist
- Iowa City, IA
- NPI 1316430481
-
- Optometrist
- Mount Vernon, IA
- NPI 1346233699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225238400000",
"number": "1578635686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 GLENN ST",
"city": "MOUNT VERNON",
"state": "IA",
"postal_code": "523141588",
"telephone_number": "319-895-8888",
"fax_number": "319-895-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 GLENN ST",
"city": "MOUNT VERNON",
"state": "IA",
"postal_code": "523141588",
"telephone_number": "319-895-8888",
"fax_number": "319-895-8889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MT VERNON EYE CLINIC PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2008-10-29",
"status": "A",
"authorized_official_last_name": "FLOCKHART",
"authorized_official_first_name": "PEG",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "INSURANCE MANAGER",
"authorized_official_telephone_number": "319-895-8888"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.