NPIMap

Organization Active NPI

Eye Care Optical LLC

  • Eyewear Supplier
  • Marshalltown, IA
National Provider Identifier
1700865409
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE CARE OPTICAL LLC
Practice address
309 E Church St
Marshalltown, IA 50158-2946
Phone
(641) 754-6200
NPI assigned
Jan 11, 2006
Organization subpart
Yes
Parent organization
EYECARE OPTICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Denny L Starr
Title
Cfo
Phone
(641) 754-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

309 E Church St
Marshalltown, IA 50158-2946

Mailing address

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

Other identifiers 1

IdentifierTypeStateIssuer
0271023MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930053578 IA DME Supplier - OpticianDME Supplier - Physician - Optometrist 8123148152 Practice locations: Marshalltown, IA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Eye Care Optical LLC309 E Church St, Marshalltown, IA 50158-2946(641) 754-6200 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Eye Care Optical4 organizations share this tax ID, including this one
Part of
Eye Care Optical

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1700865409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946",
            "telephone_number": "641-754-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946",
            "telephone_number": "641-754-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE OPTICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYECARE OPTICAL LLC",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "STARR",
        "authorized_official_first_name": "DENNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "641-754-6200"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0271023",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshalltown, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.