Organization Active NPI

McDonald Optical Dispensary Inc

  • Durable Medical Equipment & Medical Supplies
  • Iowa City, IA
National Provider Identifier
1669788956
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MCDONALD OPTICAL DISPENSARY INC
Practice address
16 S Clinton St
Box 1940
Iowa City, IA 52240-3912
Phone
(319) 337-4995
Fax
(319) 358-5707
NPI assigned
Aug 24, 2010
Last updated
Apr 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Reid A McDonald
Title
Owner
Phone
(319) 337-4995

Specialties & licenses 2

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

Addresses

Primary practice location

16 S Clinton St
Box 1940
Iowa City, IA 52240-3912

Mailing address

16 S Clinton St
Iowa City, IA 52240-3912
Phone (319) 337-4995

National Provider Directory

National Provider Directory

Locations

16 S Clinton St
#1940
Iowa City, IA 52240
Phone (319) 337-4995

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1669788956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S CLINTON ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522403912",
            "telephone_number": "319-337-4995",
            "fax_number": "319-358-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S CLINTON ST",
            "address_2": "BOX 1940",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522403912",
            "telephone_number": "319-337-4995",
            "fax_number": "319-358-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONALD OPTICAL DISPENSARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "REID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-337-4995"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.