Organization Active NPI

Lifetime Eyecare, PC

  • Optometrist
  • Oskaloosa, IA
National Provider Identifier
1710423751
Registry record updated Jan 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01757 Issued in IA
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

Updated by the provider on Jan 14, 2017

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.