Orlin James Fick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

01817 Issued in IA

Practice address

505 W Sheridan Ave
Shenandoah, IA 51601-1705

Phone

(712) 246-1786

Fax

(712) 246-1182

NPI assigned

Jan 12, 2006

Last updated

Aug 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyecare Associates of Southwest Iowa Inc

  • Optometrist
  • Clarinda, IA
  • NPI 1801887484
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1659350148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 KEITH DR",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516012601",
            "telephone_number": "712-246-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W SHERIDAN AVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516011705",
            "telephone_number": "712-246-1786",
            "fax_number": "712-246-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICK",
        "first_name": "ORLIN",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07372",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "930597",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "1659350148",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "22-001144",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2218776",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249544-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "24361",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Braces Disgnostics LLC
• Joseph Patrick Emge, DDS
• Eyecare Associates of Southwest Iowa Inc
• Fair Oaks RCF, LLC (Fair Oaks Care Centre)
• Cheri C.L. Ferguson, DO
• Joshua John Fuxa, PT, DPT
• Kasey Ranay Gammell, CADC
• Garden View Care Center, Inc.
• Marc David Godfread, OTR/L
• Chantelle Gonzalez, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.