Kaila Egan O.D., PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

002596 Issued in IA

Legal business name

KAILA EGAN O.D., PLLC

Practice address

918 Decathlon Dr
Waterloo, IA 50701-3441

Phone

(319) 236-2020

NPI assigned

Aug 29, 2013

Organization subpart

No

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

Authorized official

Name

Kaila Egan, O.D.NPI 1851739213

Title

Optometrist

Phone

(319) 236-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 3

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

• Kaila Cynthia Egan, O.D.

  • Optometrist
  • Waterloo, IA
  • NPI 1851739213
  Medicare reassignment NPD Authorized official
• Carrie Marie McDaniel Kearns, O.D.

  • Optometrist
  • Independence, IA
  • NPI 1760582308
  NPD (past)
• Dexter E. Wilson, OD

  • Optometrist
  • Waterloo, IA
  • NPI 1902890858
  NPD (past)

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1598199218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 DECATHLON DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013441",
            "telephone_number": "319-236-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 DECATHLON DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507013441",
            "telephone_number": "319-236-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILA EGAN O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "KAILA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "319-236-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merisa Jusic, MD
• Kristy Justice, RD, LD
• Jva Mobility Inc
• Amy Kacher, PHARMD
• Heather Kael
• Tanja Kajtazovic
• Srinivas Kalala, M.D.
• Sreevastav Teja Kalangi, MD
• Jade Marie Kalina, FNP
• Jennifer Lynn Kane, ARNP

• Optometrist in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.