MP Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MP EYECARE, LLC

Practice address

105 20TH St NW
Waverly, IA 50677-2059

Phone

(319) 352-4516

Fax

(319) 352-0291

NPI assigned

Jul 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Matthew J Pollastrini, O.D.NPI 1811929805

Title

Owner

Phone

(319) 240-4173

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Matthew J Pollastrini, OD

  • Optometrist
  • Waverly, IA
  • NPI 1811929805
  Authorized official Same address or phone

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1699089078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 AMELIA DR",
            "address_2": "#4",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137982",
            "telephone_number": "319-240-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 20TH ST NW",
            "city": "WAVERLY",
            "state": "IA",
            "postal_code": "506772059",
            "telephone_number": "319-352-4516",
            "fax_number": "319-352-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MP EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "POLLASTRINI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-240-4173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Lynn Mohler
• Angela Renae Mollenhoff, MS
• Jacqueline A Mormann, OTR
• Megan Michelle Mormann, PHARMD
• Leslie A. Morris, LMHC
• Matthew A Mueller, D.D.S.
• Ted J Mulert
• Wendy Marie Mulert, PT
• Dan M Mulholland, MD
• Jacob Nagel, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.