NPIMap

Organization Active NPI

Vision Clinic, PC

  • Optometrist
  • Des Moines, IA
National Provider Identifier
1588866941
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION CLINIC, PC
Practice address
2628 Beaver Ave
Des Moines, IA 50310-3908
Phone
(515) 274-4141
Fax
(515) 274-4144
NPI assigned
Jun 5, 2007
Last updated
Mar 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Dr. James Wylie Hartzell II, OD
Title
President
Phone
(515) 274-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IA Primary

Addresses

Primary practice location

2628 Beaver Ave
Des Moines, IA 50310-3908

Mailing address

2628 Beaver Ave
Des Moines, IA 50310-3908
Phone (515) 274-4141

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1588866941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 BEAVER AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103908",
            "telephone_number": "515-274-4141",
            "fax_number": "515-274-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 BEAVER AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103908",
            "telephone_number": "515-274-4141",
            "fax_number": "515-274-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "HARTZELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WYLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-274-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.