Halsted's PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

02144 Issued in IA

Legal business name

HALSTED'S PC

Doing business as

Groetken Family Eye Care

Practice address

16 Central Ave NE
Le Mars, IA 51031-3515

Phone

(712) 454-6899

Fax

(712) 546-8971

NPI assigned

Nov 21, 2007

Last updated

May 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Kay Groetken, ODNPI 1760436802

Title

Owner/Doctor

Phone

(712) 546-8998

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Groetken Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

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.

• Elizabeth Kay Groetken, OD

  • Optometrist
  • Le Mars, IA
  • NPI 1760436802
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1578744256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CENTRAL AVE NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313515",
            "telephone_number": "712-546-8998",
            "fax_number": "712-546-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CENTRAL AVE NE",
            "city": "LE MARS",
            "state": "IA",
            "postal_code": "510313515",
            "telephone_number": "712-454-6899",
            "fax_number": "712-546-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALSTED'S PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "GROETKEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "712-546-8998",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS",
            "identifier": "11206",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PROVIDER",
            "identifier": "1760436802",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CIGNA",
            "identifier": "0135230002",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IOWA",
            "identifier": "28406",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2195669",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Groetken Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy M Gray, RN
• Katrina Ann Grevengoed, DPT
• Elizabeth Kay Groetken, OD
• Rick Habeck, RPH
• Nari Danielle Hadden
• Arlene Hammond, LMHC
• Courtney Hansen, T-LMHC
• Serena Hansen
• Connie D Hanson, SP
• Hawkeye Clinic of Lemars (LeMars Optometric Center)

• Optometrist in Le Mars, IA
• Providers in Le Mars, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.