Advanced Eyecare Center, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2001 Issued in IA

Legal business name

ADVANCED EYECARE CENTER, PC

Practice address

4660 86TH St
Urbandale, IA 50322-1026

Phone

(515) 727-6340

Fax

(515) 727-5109

NPI assigned

Feb 15, 2008

Last updated

Feb 15, 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

Dr. Wendianne M Wilson, O.D.NPI 1679569495

Title

President

Phone

(515) 727-6340

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, and the practitioner matching its NPPES authorized official.

• Wendianne M Wilson, O.D.

  • Optometrist
  • Urbandale, IA
  • NPI 1679569495
  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Jane Detar, OD

  • Optometrist
  • Des Moines, IA
  • NPI 1053164525
  Medicare reassignment Care Compare group NPD
• Pamela J Young, OD

  • Optometrist
  • Norwalk, IA
  • NPI 1245442623
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1619145281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221026",
            "telephone_number": "515-727-6340",
            "fax_number": "515-727-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503221026",
            "telephone_number": "515-727-6340",
            "fax_number": "515-727-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYECARE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WENDIANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-727-6340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Joy Accurso, DPT
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• Advance Chiropractic Clinic P.C.
• Advanced Chiropractic Urbandale PLLC
• Advanced Rehab Technologies, Inc.
• Advanced Spine Health Center
• Aetna Health of Iowa Inc.
• Aging Solutions Incorporated
• Alexander Counseling Inc

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

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