Organization Active NPI

Karma Peterson Sloop OD PC

  • Optometrist
  • Coralville, IA
National Provider Identifier
1578656609
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2133 Issued in IA
Legal business name
KARMA PETERSON SLOOP OD PC
Practice address
2801 Commerce Dr
Coralville, IA 52241-2757
Phone
(319) 545-6419
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Karma Birgitta SloopNPI 1568427631
Title
Owner
Phone
(319) 551-5114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2133 IA Primary

Addresses

Primary practice location

2801 Commerce Dr
Coralville, IA 52241-2757

Mailing address

603 W 19TH St
Vinton, IA 52349-1693
Phone (319) 551-5114

Other identifiers 1

IdentifierTypeStateIssuer
0245563MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070102000170 IA Part B Supplier - Clinic/Group Practice 9133129984 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Rapids, IA; Coralville, IA; Iowa City, IA

National Provider Directory

National Provider Directory

Locations

2645 Blairs Ferry Rd NE
Cedar Rapids, IA 52402
Phone (319) 393-2110

1001 Highway 1 W
Iowa City, IA 52246
Phone (319) 337-3116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1578656609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 W 19TH ST",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491693",
            "telephone_number": "319-551-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 COMMERCE DR",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412757",
            "telephone_number": "319-545-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARMA PETERSON SLOOP OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "SLOOP",
        "authorized_official_first_name": "KARMA",
        "authorized_official_middle_name": "BIRGITTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-551-5114"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245563",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.