Active NPI
Lifetime Eyecare, PC
- Optometrist
- Oskaloosa, IA
National Provider Identifier
1710423751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 01757
- Legal business name
- LIFETIME EYECARE, PC
- Practice address
- 119 1St Ave W
Oskaloosa, IA 52577-3243 - Phone
- (641) 673-5658
- Fax
- (641) 673-9379
- NPI assigned
- Jan 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Robert Jones, O.D.
- Title
- Optometrist
- Phone
- (641) 780-7634
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 01757 | IA | Primary |
Addresses
Primary practice location
119 1St Ave W
Oskaloosa, IA 52577-3243
Mailing address
119 1St Ave W
Oskaloosa, IA 52577-3243
Phone (641) 673-5658
Other names 1
- Central Vision Center
National Provider Directory
National Provider DirectoryLocations
119 1st Ave W
Oskaloosa, IA 52577
Phone (641) 673-5658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484352000000",
"number": "1710423751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 1ST AVE W",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525773243",
"telephone_number": "641-673-5658",
"fax_number": "641-673-9379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 1ST AVE W",
"city": "OSKALOOSA",
"state": "IA",
"postal_code": "525773243",
"telephone_number": "641-673-5658",
"fax_number": "641-673-9379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFETIME EYECARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-14",
"last_updated": "2017-01-14",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "641-780-7634",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IA",
"license": "01757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oskaloosa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.