NPIMap

Organization Active NPI

Family Eye Center

  • Optometrist
  • Muscatine, IA
National Provider Identifier
1629188693
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FAMILY EYE CENTER
Practice address
315 Parham St
Muscatine, IA 52761-2630
Phone
(563) 263-7577
Fax
(563) 263-7814
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Janell Marie Kassel, ODNPI 1871721399
Title
Owner
Phone
(563) 506-8772

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X IA Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

315 Parham St
Muscatine, IA 52761-2630

Mailing address

315 Parham St
Muscatine, IA 52761-2630
Phone (563) 263-7577

Other identifiers 2

IdentifierTypeStateIssuer
0189944MedicaidIA
18994OtherIABLUE CROSS BLUE SHIELD

Other names 2

  • Family Eye Former legal business name
  • Family Eye and Contact Lens Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040319001567 IA Part B Supplier - Clinic/Group Practice 2961393061 Receives reassigned benefits from 7 practitioners
Practice locations: Durant, IA; Muscatine, IA; Wilton, IA
O20100930080570 IA DME Supplier - Physician - Optometrist 2961393061 Practice locations: Muscatine, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Family Eye Center315 Parham St, Muscatine, IA 52761-2604(563) 263-7577 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1988

National Provider Directory

National Provider Directory

Locations

315 Parham St
Muscatine, IA 52761
Phone (319) 263-7577

315 Parham St
Ste B
Muscatine, IA 52761
Phone (563) 263-7577

Practitioners & affiliated clinicians

Practitioners 9

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1629188693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PARHAM ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612630",
            "telephone_number": "563-263-7577",
            "fax_number": "563-263-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 PARHAM ST",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612630",
            "telephone_number": "563-263-7577",
            "fax_number": "563-263-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "KASSEL",
        "authorized_official_first_name": "JANELL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-506-8772",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189944",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "18994",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Family Eye and Contact Lens Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Muscatine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.