Eyeq Eyecare and Eyewear PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYEQ EYECARE AND EYEWEAR PLLC

Practice address

2157 SE la Grant Pkwy
Waukee, IA 50263-7605

Phone

(515) 534-1300

NPI assigned

Mar 25, 2022

Organization subpart

No

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

Authorized official

Name

Jill Eggers, ODNPI 1659608263

Title

Owner

Phone

(515) 534-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

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

• Jill Eggers, OD

  • Optometrist
  • Waukee, IA
  • NPI 1659608263
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1700536406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 SE LA GRANT PKWY",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502637605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 SE LA GRANT PKWY",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502637605",
            "telephone_number": "515-534-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEQ EYECARE AND EYEWEAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "EGGERS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-534-1300",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659608263",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.