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

Organization subpart

No

Name

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

Title

President

Phone

(515) 727-6340

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

• Wendianne M Wilson, O.D.

  • Optometrist
  • Urbandale, IA
  • NPI 1679569495

  IA, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Jane Thompson, OD

  • Optometrist
  • Des Moines, IA
  • NPI 1053164525

  IA, Optometrist

  Medicare reassignment Care Compare group NPD
• Pamela J Young, OD

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

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2008.

{
    "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
• Acs Medical LLC
• Active Medical Supplies, Inc
• 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

• All providers in Urbandale, IA
• 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.