NPIMap

Organization Active NPI

Medical Associates of Clinton, Iowa, P.L.C.

Doing business as Medical Associates Optical Shop

  • Eyewear Supplier
  • Clinton, IA
National Provider Identifier
1609813609
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MEDICAL ASSOCIATES OF CLINTON, IOWA, P.L.C.
Doing business as
Medical Associates Optical Shop
Practice address
915 13TH Ave N
Clinton, IA 52732-5067
Phone
(563) 243-2511
Fax
(563) 243-0817
NPI assigned
May 31, 2006
Last updated
Mar 15, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL ASSOCIATES OF CLINTON, IOWA PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Thomas A Moser
Title
Chief Operating Officer
Phone
(563) 243-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

915 13TH Ave N
Clinton, IA 52732-5067

Mailing address

915 13TH Ave N
Clinton, IA 52732-5067
Phone (563) 243-2511

Other names 1

  • Medical Associates Optical Shop Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Assoc Etal PTR6 organizations share this tax ID, including this one
Part of
Medical Assoc Etal PTR

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1609813609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 13TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325067",
            "telephone_number": "563-243-2511",
            "fax_number": "563-243-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 13TH AVE N",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527325067",
            "telephone_number": "563-243-2511",
            "fax_number": "563-243-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF CLINTON, IOWA, P.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ASSOCIATES OF CLINTON, IOWA PLC",
        "enumeration_date": "2006-05-31",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "563-243-2511"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Associates Optical Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.