NPIMap

Organization Active NPI

Coralville Eye Associates, Inc

  • Optometrist
  • Coralville, IA
National Provider Identifier
1619480951
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2509 Issued in IA
Legal business name
CORALVILLE EYE ASSOCIATES, INC
Practice address
2611 James St Ste 200
Coralville, IA 52241-1961
Phone
(319) 466-0644
Fax
(319) 466-0330
NPI assigned
Nov 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Martin Copeland, ODNPI 1215901038
Title
President
Phone
(319) 466-0644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2509 IA Primary

Addresses

Primary practice location

2611 James St Ste 200
Coralville, IA 52241-1961

Mailing address

2611 James St Ste 200
Coralville, IA 52241-1961
Phone (319) 466-0644

Other names 1

  • Pearle Vision Coralville Doing business as

National Provider Directory

National Provider Directory

Locations

2611 James St
Ste 200
Coralville, IA 52241
Phone (319) 466-0644

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1619480951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 JAMES ST STE 200",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411961",
            "telephone_number": "319-466-0644",
            "fax_number": "319-466-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 JAMES ST STE 200",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411961",
            "telephone_number": "319-466-0644",
            "fax_number": "319-466-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORALVILLE EYE ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-466-0644",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision Coralville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.